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General NPI Number Information
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NPI Number | 1689728123
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Entity Type | Organization
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Legal Business Name | CHARLESTOWNE INTERNAL MEDICINE
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 10/16/2007
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Provider Practice Location Address
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Address Line | 3531 MARY ADER AVE BUILDING A
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City | CHARLESTON
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State | SC
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Zip | 29414-5896
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Country | US
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Telephone | 843-744-1669
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Fax | 843-769-9971
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Provider Business Mailing Address
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Address Line | 3531 MARY ADER AVE BUILDING A
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City | CHARLESTON
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State | SC
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Zip | 29414-5896
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Country | US
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Telephone | 843-744-1669
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Fax | 843-769-9971
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. BETH POSTELL
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Credential |
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Telephone | 843-744-1669
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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 |
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License Number State |
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