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General NPI Number Information
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NPI Number | 1689326670
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Entity Type | Organization
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Legal Business Name | PRISMA HEALTH AMBULATORY SURGERY CENTERS-MIDLANDS, LLC
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Dates
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Enumeration Date | 01/21/2022
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Last Update Date | 05/18/2023
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Provider Practice Location Address
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Address Line | 104 SALUDA POINTE DR STE 200
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City | LEXINGTON
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State | SC
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Zip | 29072-7295
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Country | US
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Telephone | 803-939-5050
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Fax | 803-356-1326
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Provider Business Mailing Address
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Address Line | 300 E MCBEE AVE FL 4
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City | GREENVILLE
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State | SC
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Zip | 29601-2842
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, PROVIDER ENROLLMENT & CVO
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Name | MRS. KRISTI LAWRENCE
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Credential |
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Telephone | 864-522-8611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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