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General NPI Number Information
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NPI Number | 1518943364
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Entity Type | Organization
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Legal Business Name | CAROLINA MUSCULOSKELETAL INSTITUTE PA
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 410 UNIVERSITY PKWY STE 2600
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City | AIKEN
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State | SC
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Zip | 29801-6829
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Country | US
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Telephone | 803-644-4264
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Fax | 803-293-1523
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Provider Business Mailing Address
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Address Line | 410 UNIVERSITY PKWY STE 2600
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City | AIKEN
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State | SC
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Zip | 29801-6829
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Country | US
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Telephone | 803-644-4264
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Fax | 803-293-1523
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Authorized Official
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Title or Position | OWNER
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Name | PHILLIP T SUWAN
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Credential | MD
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Telephone | 803-644-4264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 59
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) 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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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