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General NPI Number Information
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NPI Number | 1477987295
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Entity Type | Organization
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Legal Business Name | GREENVILLE HEALTH SYSTEM
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Dates
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Enumeration Date | 08/28/2013
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Last Update Date | 06/05/2014
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Provider Practice Location Address
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Address Line | 1315 GROVE RD
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City | GREENVILLE
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State | SC
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Zip | 29605-4717
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Country | US
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Telephone | 864-220-9311
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Fax |
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Provider Business Mailing Address
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Address Line | 1 INDEPENDENCE PT SUITE 212
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City | GREENVILLE
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State | SC
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Zip | 29615-4545
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Country | US
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Telephone | 864-797-6307
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MICHAEL C. RIORDAN
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Credential |
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Telephone | 864-455-7978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 216
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License Number State | SC
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