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General NPI Number Information
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NPI Number | 1811027121
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Entity Type | Organization
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Legal Business Name | PIEDMONT COLON & RECTAL SURGERY CENTER
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11 DOCTORS PARK DR SUITE 210
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City | SPARTANBURG
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State | SC
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Zip | 29307-1024
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Country | US
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Telephone | 864-585-1636
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Fax | 864-580-5402
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Provider Business Mailing Address
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Address Line | 11 DOCTORS PARK DR SUITE 210
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City | SPARTANBURG
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State | SC
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Zip | 29307-1024
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Country | US
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Telephone | 864-585-1636
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Fax | 864-580-5402
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Authorized Official
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Title or Position | PHYSICIAN
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Name | GABOR F. SOVENYHAZY
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Credential | MD
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Telephone | 864-585-1636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 9944
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License Number State | SC
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