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General NPI Number Information
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NPI Number | 1720308406
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Entity Type | Organization
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Legal Business Name | NIAS INC.
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Dates
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Enumeration Date | 06/04/2010
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Last Update Date | 07/26/2011
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Provider Practice Location Address
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Address Line | 300 EXECUTIVE CENTER DR SUITE 200A
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City | GREENVILLE
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State | SC
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Zip | 29615-4519
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Country | US
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Telephone | 877-341-7407
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Fax | 877-341-7408
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Provider Business Mailing Address
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Address Line | 300 EXECUTIVE CENTER DR SUITE 200A
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City | GREENVILLE
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State | SC
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Zip | 29615-4519
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Country | US
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Telephone | 877-341-7407
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Fax | 877-341-7408
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Authorized Official
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Title or Position | DIRECTOR
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Name | KENNETH ORBECK
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Credential | DO
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Telephone | 877-749-8832
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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 | 513
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License Number State | SC
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