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General NPI Number Information
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NPI Number | 1700803442
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Entity Type | Organization
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Legal Business Name | BIO-MEDICAL APPLICATIONS OF SOUTH CAROLINA, INC.
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2125 ADAMS GRV
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City | COLUMBIA
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State | SC
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Zip | 29203-7102
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Country | US
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Telephone | 803-779-7511
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Fax | 803-733-1771
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Provider Business Mailing Address
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Address Line | 2125 ADAMS GRV
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City | COLUMBIA
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State | SC
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Zip | 29203-7102
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Country | US
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Telephone | 803-779-7511
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Fax | 803-733-1771
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Authorized Official
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Title or Position | TREASURER
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Name | MARK FAWCETT
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Credential |
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Telephone | 800-662-1237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number | ERD046
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License Number State | SC
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