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General NPI Number Information
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NPI Number | 1477725463
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Entity Type | Organization
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Legal Business Name | PALMETTO HEALTH
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Dates
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Enumeration Date | 03/31/2008
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 383 MCGEE ST
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City | BAMBERG
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State | SC
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Zip | 29003-1338
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Country | US
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Telephone | 803-245-0390
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Fax | 803-245-0083
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Provider Business Mailing Address
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Address Line | PO BOX 7275
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City | COLUMBIA
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State | SC
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Zip | 29202-7275
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Country | US
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Telephone | 803-296-3164
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Fax | 803-296-3319
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Authorized Official
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Title or Position | COO
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Name | MR. JAMES M BRIDGES
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Credential |
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Telephone | 803-296-5678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | 056
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 056
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License Number State | SC
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