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General NPI Number Information
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NPI Number | 1568736247
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Entity Type | Organization
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Legal Business Name | DAVID DOWNIE IV, M.D.,P.A.
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Dates
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Enumeration Date | 02/28/2012
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Last Update Date | 02/28/2012
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Provider Practice Location Address
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Address Line | 1327 RICHLAND STREET
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City | COLUMBIA
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State | SC
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Zip | 29201
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Country | US
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Telephone | 803-252-4882
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Fax | 803-252-2233
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Provider Business Mailing Address
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Address Line | 1327 RICHLAND STREET
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City | COLUMBIA
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State | SC
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Zip | 29201
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Country | US
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Telephone | 803-252-4882
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Fax | 803-252-2233
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Authorized Official
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Title or Position | PHYSICIAN, OWNER
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Name | DAVID DOWNIE IV
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Credential | M.D.
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Telephone | 803-252-4882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 11294
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License Number State | SC
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