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General NPI Number Information
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NPI Number | 1659663672
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Entity Type | Organization
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Legal Business Name | PALMETTO HEALTH
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Dates
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Enumeration Date | 05/10/2011
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Last Update Date | 05/10/2011
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Provider Practice Location Address
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Address Line | 9 RICHLAND MEDICAL PARK DR STE 440 PASTORAL COUNSELING DEPARTMENT
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City | COLUMBIA
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State | SC
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Zip | 29203-6870
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Country | US
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Telephone | 803-434-2767
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Fax | 803-434-2850
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Provider Business Mailing Address
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Address Line | 9 RICHLAND MEDICAL PARK DR STE 440 PASTORAL COUNSELING DEPARTMENT
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City | COLUMBIA
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State | SC
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Zip | 29203-6870
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Country | US
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Telephone | 803-434-2767
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Fax | 803-434-2850
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Authorized Official
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Title or Position | CORP DIRECTOR, PT FINANCIAL SVCS
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Name | TOM ECKERT
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Credential |
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Telephone | 803-296-2443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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