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General NPI Number Information
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NPI Number | 1487000360
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Entity Type | Organization
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Legal Business Name | BOR SOUTH CAROLINA INC
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Dates
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Enumeration Date | 05/10/2016
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Last Update Date | 05/10/2016
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Provider Practice Location Address
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Address Line | 1954 ASHLEY RIVER RD SUITE K-P
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City | CHARLESTON
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State | SC
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Zip | 29407-4904
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Country | US
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Telephone | 410-889-0727
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Fax | 410-889-0729
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Provider Business Mailing Address
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Address Line | 416 E 30TH ST
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City | BALTIMORE
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State | MD
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Zip | 21218-3934
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Country | US
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Telephone | 410-889-0727
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Fax | 410-889-0729
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | HEATHER PAPANIA
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Credential |
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Telephone | 410-889-0727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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