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General NPI Number Information
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NPI Number | 1588696405
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Entity Type | Individual
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Provider Name | THOMAS C LITTON M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 09/18/2012
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Provider Practice Location Address
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Address Line | 9329 MEDICAL PLAZA DR
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City | CHARLESTON
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State | SC
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Zip | 29406-9103
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Country | US
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Telephone | 843-797-5151
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Fax | 843-572-6939
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Provider Business Mailing Address
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Address Line | 9239 MEDICAL PLAZA DR
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City | CHARLESTON
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State | SC
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Zip | 29406-9126
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Country | US
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Telephone | 843-797-5151
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Fax | 843-572-6939
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 11903
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License Number State | SC
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