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General NPI Number Information
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NPI Number | 1851712160
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Entity Type | Organization
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Legal Business Name | PHARMACUM MEDICAL CENTER
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Dates
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Enumeration Date | 01/05/2014
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Last Update Date | 03/12/2014
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Provider Practice Location Address
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Address Line | 1007 GROVE RD SUITE D
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City | GREENVILLE
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State | SC
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Zip | 29605-4630
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Country | US
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Telephone | 864-558-0405
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Fax | 864-558-0407
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Provider Business Mailing Address
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Address Line | PO BOX 1733
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City | LEXINGTON
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State | SC
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Zip | 29071-1733
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Country | US
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Telephone | 803-359-0057
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Fax | 803-359-6265
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Authorized Official
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Title or Position | PARTNER
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Name | DR. ROBERT WALKER
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Credential | MD
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Telephone | 864-558-0405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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