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General NPI Number Information
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NPI Number | 1467709881
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Entity Type | Organization
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Legal Business Name | REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES
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Dates
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Enumeration Date | 08/06/2012
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 3000 SAINT MATTHEWS RD
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City | ORANGEBURG
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State | SC
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Zip | 29118-1442
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Country | US
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Telephone | 803-395-2507
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Fax | 803-395-2530
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Provider Business Mailing Address
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Address Line | 3000 SAINT MATTHEWS RD
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City | ORANGEBURG
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State | SC
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Zip | 29118-1442
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Country | US
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Telephone | 803-395-2507
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Fax | 803-395-2670
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | CHRIS HANNA
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Credential | B.S.
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Telephone | 803-395-2530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 14057
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License Number State | SC
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