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General NPI Number Information
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NPI Number | 1659424174
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Entity Type | Organization
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Legal Business Name | CAMBRIDGE HEALTHCARE INC.
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 416 ROBERSTON BLVD. SUITE E
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City | WALTERBORO
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State | SC
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Zip | 29488-2952
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Country | US
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Telephone | 843-549-2727
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Fax | 843-549-2707
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Provider Business Mailing Address
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Address Line | PO BOX 1943
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City | WALTERBORO
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State | SC
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Zip | 29488-0020
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Country | US
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Telephone | 843-549-2727
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Fax | 843-549-2707
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MATTHEW SHELBOURNE
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Credential |
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Telephone | 843-549-2727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number | 14779
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License Number State | SC
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