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General NPI Number Information
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NPI Number | 1366708992
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Entity Type | Individual
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Provider Name | MICHAEL BENJAMIN MEFFORD M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/09/2012
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Last Update Date | 12/06/2025
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Provider Practice Location Address
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Address Line | 159 CIVITAS ST STE 203
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City | MOUNT PLEASANT
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State | SC
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Zip | 29464-2201
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Country | US
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Telephone | 843-977-2677
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Fax | 843-829-4770
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Provider Business Mailing Address
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Address Line | 159 CIVITAS ST STE 203
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City | MOUNT PLEASANT
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State | SC
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Zip | 29464-2201
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Country | US
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Telephone | 843-977-2677
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Fax | 843-829-4770
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD18623
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License Number State | SC
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