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General NPI Number Information
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NPI Number | 1508853698
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Entity Type | Organization
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Legal Business Name | STRAND PHYSICIAN SPECIALISTS, PA
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 809 82ND PKWY
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City | MYRTLE BEACH
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State | SC
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Zip | 29572-4607
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Country | US
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Telephone | 843-497-5929
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3439
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City | NORTH MYRTLE BEACH
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State | SC
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Zip | 29582-0439
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Country | US
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Telephone | 843-839-4447
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Fax | 843-399-0123
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | THADDEUS GOLDEN
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Credential | M.D.
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Telephone | 843-497-5929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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