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General NPI Number Information
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NPI Number | 1457585713
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Entity Type | Organization
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Legal Business Name | MARION REGIONAL HEALTHCARE SYSTEM
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Dates
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Enumeration Date | 05/14/2009
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Last Update Date | 05/19/2010
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Provider Practice Location Address
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Address Line | 51 11TH AVENUE
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City | AYNOR
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State | SC
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Zip | 29511
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Country | US
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Telephone | 843-431-2405
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Fax | 843-431-2414
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Provider Business Mailing Address
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Address Line | 51 11TH AVENUE
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City | AYNOR
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State | SC
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Zip | 29511
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Country | US
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Telephone | 843-431-2405
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Fax | 843-431-2414
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DONALD H LLOYD
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Credential |
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Telephone | 843-431-2405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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