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General NPI Number Information
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NPI Number | 1750577391
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Entity Type | Organization
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Legal Business Name | TIDEWATER INTERNAL MEDICINE II LLC
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 09/18/2007
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Provider Practice Location Address
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Address Line | 2097 HENRY TECKLENBURG DR SUITE 301
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City | CHARLESTON
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State | SC
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Zip | 29414-5740
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Country | US
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Telephone | 404-943-0205
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 468329
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City | ATLANTA
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State | GA
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Zip | 31146-8329
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LEAD
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Name | ALICIA HOLDEN
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Credential | ACCOUNTING
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Telephone | 404-943-0205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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