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General NPI Number Information
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NPI Number | 1407005028
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Entity Type | Organization
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Legal Business Name | SOUTH CAROLINA DHEC
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Dates
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Enumeration Date | 09/18/2008
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Last Update Date | 09/18/2008
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Provider Practice Location Address
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Address Line | 1736 S MAIN ST
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City | GREENWOOD
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State | SC
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Zip | 29646-4124
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Country | US
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Telephone | 864-260-5541
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Fax | 864-260-5676
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Provider Business Mailing Address
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Address Line | 1736 S MAIN ST
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City | GREENWOOD
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State | SC
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Zip | 29646-4124
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Country | US
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Telephone | 864-260-5541
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Fax | 864-260-5676
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Authorized Official
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Title or Position | CHIEF OF STAFF
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Name | MR. RAYMOND DOUGLAS CALVERT
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Credential |
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Telephone | 803-898-3305
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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