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General NPI Number Information
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NPI Number | 1528387040
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH AMERICA-BEAUFORT/JASPER
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Dates
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Enumeration Date | 05/24/2010
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Last Update Date | 02/08/2022
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Provider Practice Location Address
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Address Line | 4454 BLUFFTON PARK CRES STE 108
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City | BLUFFTON
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State | SC
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Zip | 29910-9040
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Country | US
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Telephone | 843-757-3900
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Fax | 843-757-8664
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Provider Business Mailing Address
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Address Line | PO BOX 1925
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City | BLUFFTON
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State | SC
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Zip | 29910-1925
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Country | US
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Telephone | 843-757-3900
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. STEVEN ARLEIGH CAYWOOD
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Credential |
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Telephone | 843-757-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State | SC
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