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General NPI Number Information
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NPI Number | 1538595921
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Entity Type | Organization
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Legal Business Name | GREENVILLE HEALTH CORPORATION
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Dates
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Enumeration Date | 09/18/2013
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 200 PATEWOOD DR SUITE C360
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City | GREENVILLE
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State | SC
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Zip | 29615-3593
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Country | US
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Telephone | 864-885-0077
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Fax | 864-885-0084
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Provider Business Mailing Address
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Address Line | 50 BEAR DR
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City | GREENVILLE
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State | SC
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Zip | 29605-4458
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SVP FINANCE, ENTERPRISE CONTRACTING
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Name | POLLY H. MILLER
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Credential |
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Telephone | 864-522-2286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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