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General NPI Number Information
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NPI Number | 1467881532
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Entity Type | Organization
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Legal Business Name | AIKEN COUNTY BOARD OF DISABILITIES
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Dates
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Enumeration Date | 11/08/2013
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Last Update Date | 11/08/2013
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Provider Practice Location Address
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Address Line | 1016 VAUCLUSE RD
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City | AIKEN
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State | SC
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Zip | 29801-3261
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Country | US
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Telephone | 803-642-8800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 698
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City | AIKEN
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State | SC
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Zip | 29802-0698
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Country | US
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Telephone | 803-642-8800
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Fax | 803-642-8806
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. RALPH EDWARD COURTNEY
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Credential | M. ED.
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Telephone | 803-642-8811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State | SC
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