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General NPI Number Information
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NPI Number | 1679437271
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Entity Type | Organization
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Legal Business Name | CARE-NET OF LANCASTER
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 120 WILDEWOOD PARK DR STE B
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City | COLUMBIA
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State | SC
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Zip | 29223-4313
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Country | US
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Telephone | 803-285-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 800 N WHITE ST
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City | LANCASTER
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State | SC
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Zip | 29720-2177
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Country | US
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Telephone | 803-285-2273
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF REVENUE AND FINANCE
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Name | SELENA ROBERTSON
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Credential |
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Telephone | 803-753-7937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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