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General NPI Number Information
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NPI Number | 1780248211
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Entity Type | Organization
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Legal Business Name | SPARTANBURG MEDICAL CENTER
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Dates
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Enumeration Date | 04/30/2019
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Last Update Date | 06/26/2019
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Provider Practice Location Address
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Address Line | 2755 S HIGHWAY 14 STE 2050A
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City | GREER
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State | SC
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Zip | 29650-4902
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Country | US
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Telephone | 864-253-8055
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Fax | 864-253-8126
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Provider Business Mailing Address
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Address Line | PO BOX 743070
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City | ATLANTA
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State | GA
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Zip | 30374-3070
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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 | CHIEF FINANCIAL OFFICER
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Name | KENNETH J MEINKE
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Credential |
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Telephone | 864-560-6103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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