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General NPI Number Information
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NPI Number | 1790876902
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Entity Type | Organization
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Legal Business Name | MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC.
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 604 EAST CHEVES STREET
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City | FLORENCE
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State | SC
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Zip | 29506
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Country | US
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Telephone | 843-669-3822
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Fax | 843-669-6116
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Provider Business Mailing Address
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Address Line | 604 EAST CHEVES STREET
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City | FLORENCE
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State | SC
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Zip | 29506
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Country | US
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Telephone | 843-669-3822
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Fax | 843-669-6116
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Authorized Official
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Title or Position | VP OF BUSINESS OPERATIONS
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Name | JOHN BRUYERE
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Credential |
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Telephone | 843-777-4401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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