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General NPI Number Information
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NPI Number | 1467996843
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Entity Type | Organization
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Legal Business Name | PRIM AND PROPER LLC
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Dates
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Enumeration Date | 12/05/2016
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Last Update Date | 12/05/2016
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Provider Practice Location Address
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Address Line | 380 POWELL MILL RD SUITE A
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City | SPARTANBURG
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State | SC
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Zip | 29301-1534
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Country | US
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Telephone | 864-541-7496
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Fax |
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Provider Business Mailing Address
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Address Line | 380 POWELL MILL RD SUITE A
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City | SPARTANBURG
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State | SC
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Zip | 29301-1534
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Country | US
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Telephone | 864-541-7496
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DON WILLIAMS
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Credential |
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Telephone | 864-541-7496
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number | 2642
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License Number State | SC
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