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General NPI Number Information
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NPI Number | 1700133311
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Entity Type | Organization
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Legal Business Name | PAIN SPECIALISTS OF SOUTH CAROLINA
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Dates
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Enumeration Date | 08/14/2012
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Last Update Date | 08/14/2012
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Provider Practice Location Address
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Address Line | 200 CAUGHMAN FARM LN SUITE A
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City | LEXINGTON
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State | SC
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Zip | 29072-7342
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Country | US
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Telephone | 631-572-4414
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Fax | 888-729-5727
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Provider Business Mailing Address
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Address Line | 200 CAUGHMAN FARM LN SUITE A
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City | LEXINGTON
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State | SC
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Zip | 29072-7342
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Country | US
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Telephone | 803-832-7389
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Fax | 888-729-5727
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Authorized Official
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Title or Position | OWNER
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Name | DR. AMIT SINGH
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Credential | DO
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Telephone | 803-832-7389
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 32947
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License Number State | SC
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