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General NPI Number Information
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NPI Number | 1861211658
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Entity Type | Organization
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Legal Business Name | GREENVILLE COUNTY SCHOOL DISTRICT
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Dates
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Enumeration Date | 10/08/2024
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 100 BLASSINGAME RD
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City | GREENVILLE
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State | SC
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Zip | 29605-3304
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Country | US
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Telephone | 864-452-0015
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2848
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City | GREENVILLE
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State | SC
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Zip | 29602-2848
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Country | US
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Telephone | 864-452-0015
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Fax |
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Authorized Official
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Title or Position | MEDICAID CORD
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Name | CYNTHIA V TRIPLETT
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Credential |
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Telephone | 864-452-0015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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