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General NPI Number Information
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NPI Number | 1609807122
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Entity Type | Organization
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Legal Business Name | SPARTANBURG MEDICAL CENTER
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 12/13/2018
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Provider Practice Location Address
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Address Line | 101 E WOOD ST
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City | SPARTANBURG
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State | SC
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Zip | 29303-3040
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Country | US
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Telephone | 864-560-6000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 277723
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City | ATLANTA
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State | GA
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Zip | 30384-7723
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Country | US
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Telephone | 864-560-6000
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MR. KENNETH JAMES MEINKE
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Credential |
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Telephone | 864-560-6103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | HTL-0125
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | HTL-0125
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License Number State | SC
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