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General NPI Number Information
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NPI Number | 1871669390
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Entity Type | Organization
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Legal Business Name | THE FACIAL SURGERY CENTER
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 2097 HENRY TECKLENBURG DR SUITE 211 WEST
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City | CHARLESTON
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State | SC
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Zip | 29414-5740
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Country | US
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Telephone | 843-571-4742
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Fax | 843-571-3619
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Provider Business Mailing Address
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Address Line | 526 JOHNNIE DODDS BOULEVARD, SUITE 202
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City | MOUNT PLEASANT
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State | SC
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Zip | 29464-1703
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Country | US
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Telephone | 843-571-4742
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Fax | 843-571-3619
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Authorized Official
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Title or Position | MEDICAL DIRECTOR/OWNER
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Name | DR. MARCELO L HOCHMAN
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Credential | MD
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Telephone | 843-571-4742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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