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General NPI Number Information
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NPI Number | 1437329018
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Entity Type | Organization
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Legal Business Name | MORIAH HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 03/10/2008
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Last Update Date | 11/19/2019
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Provider Practice Location Address
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Address Line | 823 PEARMAN DAIRY RD
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City | ANDERSON
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State | SC
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Zip | 29625
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Country | US
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Telephone | 864-225-7878
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Fax | 864-225-7863
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Provider Business Mailing Address
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Address Line | 766 OLD SPARTANBURG HWY
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City | WELLFORD
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State | SC
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Zip | 29385
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Country | US
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Telephone | 864-425-9690
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHARLES RONALD BRIGHT JR.
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Credential |
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Telephone | 803-466-6246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 21864
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License Number State | SC
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