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General NPI Number Information
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NPI Number | 1710065941
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Entity Type | Organization
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Legal Business Name | JAMES M VEST MD PC
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4700 S OCEAN BLVD
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City | SURFSIDE BEACH
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State | SC
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Zip | 29575-4500
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Country | US
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Telephone | 843-238-8747
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Fax | 843-232-8401
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Provider Business Mailing Address
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Address Line | PO BOX 16264
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City | SURFSIDE BEACH
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State | SC
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Zip | 29587-6264
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Country | US
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Telephone | 843-238-1601
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Fax | 843-232-8401
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Authorized Official
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Title or Position | OWNER
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Name | JAMES M VEST
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Credential | MD
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Telephone | 843-238-1601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 13280
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License Number State | SC
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