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General NPI Number Information
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NPI Number | 1538311923
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Entity Type | Organization
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Legal Business Name | THE FREE MEDICAL CLINIC OF NEWBERRY COUNTY, INC.
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Dates
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Enumeration Date | 10/16/2008
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Last Update Date | 10/16/2008
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Provider Practice Location Address
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Address Line | 2568 KINARD ST
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City | NEWBERRY
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State | SC
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Zip | 29108-2910
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Country | US
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Telephone | 803-276-6665
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Fax | 803-276-6667
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Provider Business Mailing Address
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Address Line | 2568 KINARD ST
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City | NEWBERRY
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State | SC
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Zip | 29108-2910
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Country | US
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Telephone | 803-276-6665
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Fax | 803-276-6667
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Authorized Official
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Title or Position | MEDICAL ADMINISTRATOR
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Name | DR. ELMER EUGENE EPTING
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Credential | MD
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Telephone | 803-276-6665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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