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General NPI Number Information
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NPI Number | 1699790485
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Entity Type | Organization
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Legal Business Name | SPARTANBURG HOSPITAL FOR RESTORATIVE CARE
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 08/21/2012
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Provider Practice Location Address
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Address Line | 389 SERPENTINE DR
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City | SPARTANBURG
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State | SC
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Zip | 29303-3026
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Country | US
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Telephone | 864-560-3235
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Fax | 864-560-3158
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Provider Business Mailing Address
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Address Line | 389 SERPENTINE DR
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City | SPARTANBURG
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State | SC
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Zip | 29303-3026
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Country | US
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Telephone | 864-560-3235
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Fax | 864-560-3158
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Authorized Official
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Title or Position | CEO
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Name | MRS. ANITA M. BUTLER
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Credential |
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Telephone | 864-560-3235
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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 | HTL-0685
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number | HTL-0685
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License Number State | SC
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