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General NPI Number Information
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NPI Number | 1487849808
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTH CENTERS, INC.
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 3310 MAGNOLIA ST
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City | ORANGEBURG
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State | SC
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Zip | 29115-1466
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Country | US
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Telephone | 803-531-6900
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Fax | 803-531-6907
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Provider Business Mailing Address
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Address Line | 3310 MAGNOLIA ST
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City | ORANGEBURG
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State | SC
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Zip | 29115-1466
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Country | US
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Telephone | 803-531-6900
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Fax | 803-531-6907
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Authorized Official
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Title or Position | CFO
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Name | DONDRE WILSON
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Credential |
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Telephone | 803-531-6900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 3950
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License Number State | SC
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