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General NPI Number Information
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NPI Number | 1730258997
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Entity Type | Organization
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Legal Business Name | ANESTHESIA SERVICES OF CHARLESTON
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 09/21/2021
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Provider Practice Location Address
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Address Line | 31 HASELL STREET
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City | CHARLESTON
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State | SC
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Zip | 29401
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Country | US
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Telephone | 843-284-8532
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Fax | 888-397-0276
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Provider Business Mailing Address
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Address Line | PO BOX 1583
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City | MT PLEASANT
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State | SC
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Zip | 29465
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Country | US
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Telephone | 843-284-8532
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Fax | 888-397-0276
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. SCOTT MICHAEL EDWARDS
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Credential | MD
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Telephone | 843-345-7997
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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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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 17275
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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