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General NPI Number Information
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NPI Number | 1821437799
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Entity Type | Organization
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Legal Business Name | FLORENCE GASTROENTEROLOGY, LLC
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Dates
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Enumeration Date | 06/24/2013
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Last Update Date | 04/25/2014
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Provider Practice Location Address
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Address Line | 901 E CHEVES ST SUITE 430
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City | FLORENCE
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State | SC
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Zip | 29506-2716
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Country | US
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Telephone | 843-777-7333
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Fax | 843-777-7334
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Provider Business Mailing Address
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Address Line | PO BOX 3239
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City | FLORENCE
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State | SC
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Zip | 29502-3239
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Country | US
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Telephone | 843-777-7122
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Fax | 843-777-7102
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Authorized Official
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Title or Position | MD
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Name | TIMOTHY J. SPURLING
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Credential | MD
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Telephone | 843-777-7333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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