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General NPI Number Information
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NPI Number | 1649201658
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Entity Type | Organization
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Legal Business Name | SUMTER MEDICAL CONSULTANTS
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 02/07/2008
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Provider Practice Location Address
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Address Line | 540 PHYSICIANS LN
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City | SUMTER
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State | SC
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Zip | 29150-3370
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Country | US
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Telephone | 803-778-1941
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Fax | 803-938-9513
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Provider Business Mailing Address
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Address Line | 540 PHYSICIANS LN
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City | SUMTER
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State | SC
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Zip | 29150-3370
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Country | US
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Telephone | 803-778-1941
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Fax | 803-938-9513
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Authorized Official
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Title or Position | SECRETARY
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Name | DR. WILLIAM STRAT STAVROU
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Credential | M.D.
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Telephone | 803-778-1941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 8318
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 9195
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 7862
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License Number State | SC
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