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General NPI Number Information
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NPI Number | 1386757177
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Entity Type | Organization
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Legal Business Name | CHESTER HMA PHYSICIAN MANAGEMENT INC
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 06/25/2009
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Provider Practice Location Address
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Address Line | 517 DOCTORS COURT
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City | CHESTER
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State | SC
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Zip | 29706
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Country | US
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Telephone | 803-581-2800
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Fax | 803-581-4396
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Provider Business Mailing Address
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Address Line | 5811 PELICAN BAY BLVD SUITE 500
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City | NAPLES
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State | FL
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Zip | 34108-2704
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Country | US
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Telephone | 239-598-3131
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Fax | 239-598-9433
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Authorized Official
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Title or Position | SR VICE PRESIDENT
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Name | MR. STANLEY D. MCLEMORE
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Credential |
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Telephone | 239-598-3131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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