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General NPI Number Information
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NPI Number | 1386792596
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Entity Type | Organization
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Legal Business Name | GREENVILLE MEDICAL CARE PA
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Dates
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Enumeration Date | 01/07/2007
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Last Update Date | 03/22/2010
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Provider Practice Location Address
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Address Line | 61 POINTE CIR
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City | GREENVILLE
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State | SC
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Zip | 29615-3505
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Country | US
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Telephone | 864-286-6960
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Fax | 864-286-8710
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Provider Business Mailing Address
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Address Line | PO BOX 6807
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City | GREENVILLE
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State | SC
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Zip | 29606-6807
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Country | US
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Telephone | 864-286-6960
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Fax | 864-286-8710
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MOHAMMAD RASHID
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Credential | MD
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Telephone | 864-286-6960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 17944
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License Number State | SC
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