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General NPI Number Information
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NPI Number | 1891955969
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Entity Type | Individual
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Provider Name | PAUL A. LINGOES M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2008
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 1201 COLONIAL COMMONS AGAPE PHYSICIANS CARE
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City | LANCASTER
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State | SC
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Zip | 29720
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Country | US
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Telephone | 803-207-8200
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Fax | 803-207-8130
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Provider Business Mailing Address
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Address Line | 1624 MAIN STREET AGAPE SENIOR PRIMARY CARE, INC., DBA AGAPE PHYSICIANS C
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City | COLUMBIA
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State | SC
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Zip | 29201
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Country | US
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Telephone | 803-454-0365
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Fax | 803-404-6000
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2020-03135
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | TL34607
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License Number State | SC
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