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General NPI Number Information
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NPI Number | 1548773583
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Entity Type | Organization
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Legal Business Name | BEAUFORT PHYSICIAN PARTNERS
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Dates
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Enumeration Date | 11/13/2017
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Last Update Date | 11/06/2019
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Provider Practice Location Address
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Address Line | 955 RIBAUT RD
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City | BEAUFORT
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State | SC
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Zip | 29902
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Country | US
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Telephone | 843-522-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 955 RIBAUT RD
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City | BEAUFORT
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State | SC
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Zip | 29902-5441
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Country | US
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Telephone | 843-522-5200
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Fax | 843-522-5674
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Authorized Official
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Title or Position | CFO
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Name | KENNETH W MILLER
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Credential |
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Telephone | 843-522-5142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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