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General NPI Number Information
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NPI Number | 1396008090
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Entity Type | Individual
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Provider Name | MARY KATHRYN CONE M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/19/2012
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Last Update Date | 08/31/2015
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Provider Practice Location Address
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Address Line | PEDS DEPT - 14 MEDICAL PARK SUITE 400
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City | COLUMBIA
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State | SC
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Zip | 29203
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Country | US
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Telephone | 803-434-6155
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Fax | 803-434-6979
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Provider Business Mailing Address
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Address Line | 14 RICHLAND MEDICAL PARK DR SUITE 400
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City | COLUMBIA
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State | SC
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Zip | 29203-6877
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Country | US
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Telephone | 803-434-7945
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Fax | 803-434-4100
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 34835
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License Number State | SC
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