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General NPI Number Information
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NPI Number | 1407391428
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Entity Type | Organization
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Legal Business Name | YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREENWOOD, S.C.
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Dates
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Enumeration Date | 12/29/2016
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Last Update Date | 12/29/2016
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Provider Practice Location Address
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Address Line | 1760 CALHOUN RD
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City | GREENWOOD
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State | SC
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Zip | 29649-8909
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Country | US
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Telephone | 864-223-9622
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Fax | 864-377-8034
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Provider Business Mailing Address
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Address Line | 1760 CALHOUN RD
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City | GREENWOOD
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State | SC
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Zip | 29649-8909
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Country | US
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Telephone | 864-223-9622
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Fax | 864-377-8034
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Authorized Official
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Title or Position | CEO
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Name | BRIAN HARLAN
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Credential |
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Telephone | 864-223-9622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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