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General NPI Number Information
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NPI Number | 1770418857
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Entity Type | Organization
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Legal Business Name | TRI-COUNTY SURGICAL SPECIALISTS LLC
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Dates
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Enumeration Date | 06/17/2026
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Last Update Date | 06/17/2026
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Provider Practice Location Address
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Address Line | 9330 MEDICAL PLAZA DR
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City | CHARLESTON
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State | SC
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Zip | 29406-9104
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Country | US
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Telephone | 843-797-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 HEALTH PARK DR
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City | BRENTWOOD
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State | TN
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Zip | 37027-4525
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Country | US
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Telephone | 615-373-7406
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | ROBERT FAILE
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Credential |
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Telephone | 843-856-7923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number |
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License Number State |
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