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General NPI Number Information
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NPI Number | 1407727365
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Entity Type | Organization
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Legal Business Name | CAROLINA OAKS BELTON LLC
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 1000 PINE TOP RD
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City | BELTON
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State | SC
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Zip | 29627-9539
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Country | US
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Telephone | 864-338-6589
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 PINE TOP RD
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City | BELTON
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State | SC
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Zip | 29627-9539
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Country | US
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Telephone | 864-338-6589
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | AUGUSTUS MCLEAN IV
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Credential |
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Telephone | 864-616-7352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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