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General NPI Number Information
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NPI Number | 1669675716
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Entity Type | Organization
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Legal Business Name | LOWCOUNTRY HEMATOLOGY & ONCOLOGY, P.A.
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 05/05/2009
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Provider Practice Location Address
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Address Line | 2048 CHARLIE HALL BLVD
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City | CHARLESTON
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State | SC
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Zip | 29414-5830
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Country | US
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Telephone | 843-763-5104
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Fax | 843-763-5112
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Provider Business Mailing Address
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Address Line | 900 BOWMAN RD SUITE 103
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City | MOUNT PLEASANT
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State | SC
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Zip | 29464-3218
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Country | US
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Telephone | 843-881-5844
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Fax | 843-881-5012
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Authorized Official
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Title or Position | OWNER
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Name | DR. MOHAMMAD DAUD NAWABI
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Credential | M.D.
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Telephone | 843-881-5844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 25927
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License Number State | SC
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