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General NPI Number Information
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NPI Number | 1508816802
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Entity Type | Organization
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Legal Business Name | GREENVILLE HEALTH CORPORATION
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 701 GROVE RD EMPLOYEE PAVILION
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City | GREENVILLE
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State | SC
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Zip | 29605-5611
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Country | US
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Telephone | 864-455-8910
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Fax |
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Provider Business Mailing Address
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Address Line | 300 E MCBEE AVE FL 4
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City | GREENVILLE
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State | SC
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Zip | 29601-2842
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Country | US
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Telephone | 864-455-7000
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Fax |
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Authorized Official
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Title or Position | VP PAYOR STRATEGIES & ALIGNMENT
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Name | POLLY H. MILLER
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Credential |
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Telephone | 864-522-2286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 10-02663
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License Number State | SC
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