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General NPI Number Information
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NPI Number | 1740269141
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Entity Type | Organization
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Legal Business Name | CAROLINA MEDCARE
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Dates
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Enumeration Date | 01/13/2006
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Last Update Date | 06/29/2009
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Provider Practice Location Address
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Address Line | 1322 BROUGHTON BLVD
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City | FLORENCE
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State | SC
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Zip | 29501-6979
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Country | US
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Telephone | 843-662-4600
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Fax | 843-679-0648
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Provider Business Mailing Address
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Address Line | PO BOX 6708
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City | FLORENCE
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State | SC
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Zip | 29502-6708
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Country | US
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Telephone | 843-662-8887
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Fax | 843-662-9920
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MR. HENRY M TURBEVILLE JR.
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Credential |
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Telephone | 843-662-8887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 103
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License Number State | SC
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