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General NPI Number Information
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NPI Number | 1376932467
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Entity Type | Organization
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Legal Business Name | SALVATION OAKS RECOVERY COMMUNITY
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Dates
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Enumeration Date | 01/13/2015
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Last Update Date | 01/13/2015
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Provider Practice Location Address
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Address Line | 316 W ALEXANDER AVE
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City | GREENWOOD
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State | SC
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Zip | 29646-4010
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Country | US
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Telephone | 864-538-4569
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Fax | 864-377-8013
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Provider Business Mailing Address
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Address Line | 316 W ALEXANDER AVE
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City | GREENWOOD
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State | SC
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Zip | 29646-4010
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Country | US
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Telephone | 864-538-4569
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Fax | 864-377-8013
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Authorized Official
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Title or Position | VICE CHAIRMAN
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Name | MR. ROBERT D STRICKLAND
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Credential |
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Telephone | 864-538-4569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 10601
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License Number State | SC
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