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General NPI Number Information
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NPI Number | 1528055084
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Entity Type | Organization
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Legal Business Name | PIEDMONT INTERNAL MED PA
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Dates
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Enumeration Date | 09/30/2005
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | 104 LINER DR
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City | GREENWOOD
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State | SC
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Zip | 29646-2310
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Country | US
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Telephone | 864-227-1115
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Fax |
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Provider Business Mailing Address
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Address Line | 104 LINER DR
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City | GREENWOOD
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State | SC
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Zip | 29646-2310
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Country | US
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Telephone | 864-227-1115
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Fax | 864-227-2046
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KAREN PRICE
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Credential |
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Telephone | 864-227-1115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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