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General NPI Number Information
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NPI Number | 1578516043
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Entity Type | Organization
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Legal Business Name | UNION HOSPITAL DISTRICT CAROLINAS HEALTH ASSOCIATES - SOUTH M
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 801 W MAIN ST
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City | UNION
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State | SC
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Zip | 29379-2717
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Country | US
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Telephone | 864-429-8029
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Fax | 864-429-3515
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Provider Business Mailing Address
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Address Line | 801 W MAIN ST
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City | UNION
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State | SC
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Zip | 29379-2717
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Country | US
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Telephone | 864-429-8029
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Fax | 864-429-3515
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | JEFF W RUSH
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Credential |
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Telephone | 864-429-2601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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