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General NPI Number Information
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NPI Number | 1700080066
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTH CENTERS, INC.
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 5616 CAROLINA HWY
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City | DENMARK
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State | SC
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Zip | 29042-2240
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Country | US
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Telephone | 803-793-4282
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Fax | 803-531-6907
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Provider Business Mailing Address
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Address Line | 3310 MAGNOLIA ST
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City | ORANGEBURG
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State | SC
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Zip | 29115-1466
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Country | US
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Telephone | 803-531-6900
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Fax | 803-531-6907
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Authorized Official
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Title or Position | CEO
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Name | DR. STAN WARDLAW
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Credential |
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Telephone | 803-531-6900
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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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