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General NPI Number Information
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NPI Number | 1740210459
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Entity Type | Organization
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Legal Business Name | SOUTH CAROLINA ENDOSCOPY CENTER
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 131 SUMMERPLACE DR
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-3058
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Country | US
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Telephone | 803-796-0642
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Fax | 803-796-3130
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Provider Business Mailing Address
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Address Line | 131 SUMMERPLACE DR
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-3058
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Country | US
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Telephone | 803-796-0642
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Fax | 803-796-3130
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JOHN W SCHABERG
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Credential | MD
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Telephone | 803-796-0642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State | SC
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