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General NPI Number Information
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NPI Number | 1760193379
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Entity Type | Organization
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Legal Business Name | LEXINGTON HEALTH INC
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Dates
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Enumeration Date | 12/06/2022
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Last Update Date | 12/06/2022
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Provider Practice Location Address
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Address Line | 700 GERVAIS ST STE 300
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City | COLUMBIA
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State | SC
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Zip | 29201-3061
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Country | US
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Telephone | 803-254-3230
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Fax | 803-540-1180
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Provider Business Mailing Address
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Address Line | PO BOX 6069
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City | WEST COLUMBIA
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State | SC
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Zip | 29171-6069
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Country | US
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Telephone | 803-254-3230
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Fax | 803-540-1180
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | TIFFANY AYERS
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Credential |
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Telephone | 803-935-8292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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