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General NPI Number Information
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NPI Number | 1710978549
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Entity Type | Organization
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Legal Business Name | PEE DEE RADIOLOGY GROUP PA
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Dates
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Enumeration Date | 11/01/2005
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Last Update Date | 03/11/2015
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Provider Practice Location Address
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Address Line | 651 S COIT ST
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City | FLORENCE
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State | SC
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Zip | 29501-5256
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Country | US
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Telephone | 843-667-8304
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Fax |
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Provider Business Mailing Address
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Address Line | 651 S COIT ST
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City | FLORENCE
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State | SC
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Zip | 29501-5256
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Country | US
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Telephone | 843-667-8304
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CAREY M HINDMAN
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Credential | M.D.
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Telephone | 843-667-8304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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