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General NPI Number Information
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NPI Number | 1811220569
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Entity Type | Organization
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Legal Business Name | COLUMBIA AREA MENTAL HEALTH
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Dates
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Enumeration Date | 09/14/2009
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Last Update Date | 10/14/2009
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Provider Practice Location Address
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Address Line | 1800 COLONIAL DR
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City | COLUMBIA
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State | SC
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Zip | 29203-6827
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Country | US
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Telephone | 803-898-1306
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 COLONIAL DR
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City | COLUMBIA
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State | SC
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Zip | 29203-6827
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CASE MANAGER
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Name | MELVIN EVERAROD MALONE JR.
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Credential |
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Telephone | 803-609-4132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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