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General NPI Number Information
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NPI Number | 1407250756
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Entity Type | Organization
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Legal Business Name | SOUTH CAROLINS SCHOOL FOR THE DEAF AND BLIND
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Dates
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Enumeration Date | 10/15/2014
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Last Update Date | 10/15/2014
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Provider Practice Location Address
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Address Line | 355 CEDAR SPRINGS RD
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City | SPARTANBURG
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State | SC
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Zip | 29302-4628
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Country | US
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Telephone | 864-577-7782
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Fax | 864-577-7869
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Provider Business Mailing Address
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Address Line | 1120 WOMRATH RD
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City | NORTH AUGUSTA
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State | SC
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Zip | 29841-4401
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Country | US
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Telephone | 803-295-7423
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPY ASSISTANT
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Name | SHERRIE MCCORD
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Credential | COTA
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Telephone | 803-295-7423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | OTA2358
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License Number State | SC
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