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General NPI Number Information
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NPI Number | 1730242223
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Entity Type | Organization
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Legal Business Name | PALMETTO HEALTH
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 05/15/2008
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Provider Practice Location Address
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Address Line | 106 CHURCH ST THE PASTORAL COUNSELING CENTER OF SIMPSONVILLE
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-2613
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Country | US
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Telephone | 888-293-7585
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Fax | 864-859-9648
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Provider Business Mailing Address
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Address Line | 112 JOHN ST STE 102 THE PASTORAL COUNSELING CENTER OF EASLEY
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City | EASLEY
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State | SC
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Zip | 29640-1405
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Country | US
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Telephone | 864-442-7585
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Fax | 864-859-9648
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Authorized Official
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Title or Position | CORP DIRECTOR, PT FINANCIAL SVCS
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Name | TOM ECKERT
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Credential |
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Telephone | 803-296-2443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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