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General NPI Number Information
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NPI Number | 1679661144
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Entity Type | Organization
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Legal Business Name | NORTH GREENVILLE FITNESS & CARDIAC REHABILITATION CLINIC, INC.
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 907 NORTH MAIN STREET
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City | TRAVELERS REST
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State | SC
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Zip | 29690-0606
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Country | US
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Telephone | 864-834-9078
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Fax | 864-834-7891
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Provider Business Mailing Address
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Address Line | PO BOX 606 907 N. MAIN ST.
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City | TRAVELERS REST
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State | SC
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Zip | 29690-0606
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Country | US
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Telephone | 864-834-9078
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Fax | 864-834-7891
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. MICHAEL BILLINGS
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Credential | M.D.
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Telephone | 864-823-9078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 14337
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License Number State | SC
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