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General NPI Number Information
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NPI Number | 1407630460
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Entity Type | Organization
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Legal Business Name | LEXINGTON HEALTH, INC
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Dates
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Enumeration Date | 08/22/2023
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Last Update Date | 08/22/2023
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Provider Practice Location Address
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Address Line | 5143 FOREST DR STE 110
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City | COLUMBIA
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State | SC
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Zip | 29206-4918
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Country | US
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Telephone | 803-791-2000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6069
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City | WEST COLUMBIA
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State | SC
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Zip | 29171-6069
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Country | US
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Telephone | 803-791-2000
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Fax |
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Authorized Official
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Title or Position | SENIOR VP/ CFO
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Name | JEFFREY BRILLHART
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Credential |
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Telephone | 803-791-2967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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