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General NPI Number Information
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NPI Number | 1700601879
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Entity Type | Organization
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Legal Business Name | BON SECOURS ST FRANCIS XAVIER HOSPITAL, INC.
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Dates
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Enumeration Date | 11/22/2024
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 2085 HENRY TECKLENBURG DR STE 320
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City | CHARLESTON
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State | SC
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Zip | 29414-7713
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Country | US
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Telephone | 843-571-6067
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Fax | 843-769-4853
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Provider Business Mailing Address
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Address Line | PO BOX 751874
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City | CHARLOTTE
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State | NC
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Zip | 28275-1874
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Country | US
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Telephone | 843-402-5200
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Fax | 843-402-5296
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Authorized Official
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Title or Position | VP OPS-ACUTE CARE
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Name | MATTHEW DESMOND
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Credential |
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Telephone | 843-724-2103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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