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General NPI Number Information
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NPI Number | 1851389142
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Entity Type | Organization
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Legal Business Name | FAMILY PHYSICIANS OF BOILING SPRINGS
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Dates
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Enumeration Date | 10/11/2005
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Last Update Date | 08/12/2008
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Provider Practice Location Address
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Address Line | 3941 HIGHWAY 9
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City | BOILING SPRINGS
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State | SC
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Zip | 29316-8578
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Country | US
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Telephone | 864-560-3650
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Fax | 864-560-3675
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Provider Business Mailing Address
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Address Line | 3941 HIGHWAY 9
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City | BOILING SPRINGS
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State | SC
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Zip | 29316-8578
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Country | US
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Telephone | 864-560-3650
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Fax | 864-560-3675
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Authorized Official
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Title or Position | M.D
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Name | DR. JENNIFER G. BAUGH
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Credential | M.D.
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Telephone | 864-560-3650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | SC20281
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License Number State | SC
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