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General NPI Number Information
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NPI Number | 1619404399
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Entity Type | Organization
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Legal Business Name | BERKELEY COUNTY SCHOOL DISTRICT
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Dates
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Enumeration Date | 05/12/2017
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Last Update Date | 05/12/2017
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Provider Practice Location Address
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Address Line | 100 DAVIDSON DR
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City | LADSON
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State | SC
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Zip | 29456-3307
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Country | US
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Telephone | 843-797-2711
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Fax |
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Provider Business Mailing Address
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Address Line | 109 E MAIN ST
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City | MONCKS CORNER
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State | SC
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Zip | 29461-3764
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Country | US
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Telephone | 843-899-8890
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Fax | 843-899-8669
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MRS. KIMBERLY H LIGON
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Credential | LPC
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Telephone | 843-797-2711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 3746
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License Number State | SC
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