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General NPI Number Information
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NPI Number | 1770028557
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Entity Type | Organization
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Legal Business Name | CENTER FOR DIGESTIVE AND LIVER HEALTH LLC
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Dates
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Enumeration Date | 01/03/2017
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Last Update Date | 01/03/2017
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Provider Practice Location Address
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Address Line | 40 OKATIE CENTER BLVD S SUITE 210
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City | OKATIE
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State | SC
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Zip | 29909-7507
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Country | US
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Telephone | 912-303-4200
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Fax | 912-790-2701
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Provider Business Mailing Address
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Address Line | 1139 LEXINGTON AVE
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City | SAVANNAH
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State | GA
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Zip | 31404-5502
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Country | US
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Telephone | 912-303-4200
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Fax | 912-790-2701
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Authorized Official
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Title or Position | CEO
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Name | LYNNE MARINI
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Credential |
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Telephone | 912-790-2696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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