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General NPI Number Information
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NPI Number | 1811404890
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE FORENSIC CONSULTANTS
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Dates
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Enumeration Date | 12/29/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 123 HAZELTINE BND
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City | SUMMERVILLE
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State | SC
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Zip | 29483-5360
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Country | US
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Telephone | 843-708-0185
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Fax | 888-389-9894
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Provider Business Mailing Address
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Address Line | 123 HAZELTINE BND
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City | SUMMERVILLE
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State | SC
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Zip | 29483-5360
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Country | US
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Telephone | 843-708-0185
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DONNA F GILL
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Credential | DNP, FNP-C
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Telephone | 843-708-0185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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