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General NPI Number Information
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NPI Number | 1780186569
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Entity Type | Organization
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Legal Business Name | UNION MEDICAL CENTER
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Dates
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Enumeration Date | 03/07/2018
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 1201 FURMAN L FENDLEY HWY STE C
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City | UNION
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State | SC
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Zip | 29379-7419
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Country | US
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Telephone | 864-427-8380
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Fax | 864-427-8308
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Provider Business Mailing Address
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Address Line | PO BOX 2168
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City | SPARTANBURG
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State | SC
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Zip | 29304-2168
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Country | US
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Telephone | 864-560-4304
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Fax | 864-560-4413
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Authorized Official
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Title or Position | EVP, CFO
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Name | BRUCE A DAVIS
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Credential |
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Telephone | 864-560-4376
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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 | SC
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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