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General NPI Number Information
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NPI Number | 1619788890
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Entity Type | Organization
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Legal Business Name | PRISMA HEALTH LTACH - BAPTIST
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 7TH FLOOR 1330 TAYLOR ST
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City | COLUMBIA
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State | SC
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Zip | 89201-2915
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Country | US
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Telephone | 803-296-5010
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Fax |
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Provider Business Mailing Address
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Address Line | 300 E MCBEE AVE FL 4
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City | GREENVILLE
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State | SC
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Zip | 29601-2842
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Country | US
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Telephone | 803-596-4802
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Fax |
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Authorized Official
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Title or Position | DIR-ENROLLMENT & CVO
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Name | KRISTI LAWRENCE
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Credential |
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Telephone | 864-522-8611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number |
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License Number State |
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