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General NPI Number Information
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NPI Number | 1750956017
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Entity Type | Individual
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Provider Name | ELIZABETH ALEXANDRA POGREBNIAK MD
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Gender | Female
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 4 MEDICAL PARK RD
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City | COLUMBIA
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State | SC
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Zip | 29203-6807
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Country | US
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Telephone | 803-434-2020
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Fax | 803-434-4160
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Provider Business Mailing Address
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Address Line | PRISMA HEALTH INTERNAL MEDICINE CENTER 1801 SUNSET DRIVE
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City | COLUMBIA
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State | SC
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Zip | 29203
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Country | US
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Telephone | 803-434-4153
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Fax | 803-434-4160
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | LL85704
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 103977
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License Number State | GA
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