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General NPI Number Information
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NPI Number | 1861504441
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Entity Type | Organization
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Legal Business Name | SANDHILLS FAMILY MEDICINE, PC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 3000 NE MEDICAL PARK STE 101
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City | COLUMBIA
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State | SC
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Zip | 29223-6251
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Country | US
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Telephone | 803-736-0731
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Fax | 803-736-0753
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Provider Business Mailing Address
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Address Line | 3000 NE MEDICAL PARK STE 101
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City | COLUMBIA
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State | SC
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Zip | 29223-6251
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Country | US
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Telephone | 803-736-0731
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Fax | 803-736-0753
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT E HARTVIGSEN
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Credential | M.D.
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Telephone | 803-736-0731
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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 | 13110
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License Number State | SC
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