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General NPI Number Information
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NPI Number | 1649700683
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Entity Type | Individual
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Provider Name | BARBRA KATE GIOURGAS MD
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Gender | Female
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Dates
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Enumeration Date | 06/13/2017
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 169 ASHLEY AVE RM 202
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City | CHARLESTON
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State | SC
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Zip | 29425-8905
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Country | US
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Telephone | 843-876-8512
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Fax |
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Provider Business Mailing Address
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Address Line | 169 ASHLEY AVE RM 202
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City | CHARLESTON
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State | SC
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Zip | 29425-8905
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Country | US
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Telephone |
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Fax |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MMD.51183LL
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | 2022027101
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | 90491
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 2084E0001X
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Taxonomy Name | Epilepsy Physician
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License Number | 90491
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License Number State | SC
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