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General NPI Number Information
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NPI Number | 1477584548
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Entity Type | Organization
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Legal Business Name | MEDICAL CONSULTANTS PC
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 07/01/2008
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Provider Practice Location Address
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Address Line | 447 BAINBRIDGE DR
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City | AIKEN
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State | SC
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Zip | 29803-3417
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Country | US
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Telephone | 803-642-0111
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Fax | 803-642-0111
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Provider Business Mailing Address
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Address Line | 447 BAINBRIDGE DR
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City | AIKEN
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State | SC
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Zip | 29803-3417
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Country | US
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Telephone | 803-642-0111
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Fax | 803-642-0111
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Authorized Official
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Title or Position | CEO
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Name | DR. SHREEDHAR M NAGNUR
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Credential | MD
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Telephone | 803-642-0111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 22190
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License Number State | SC
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