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General NPI Number Information
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NPI Number | 1891960852
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Entity Type | Organization
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Legal Business Name | SCOTLAND MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 09/22/2022
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Provider Practice Location Address
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Address Line | 1007 CHERAW HIGHWAY
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City | BENNETTSVILLE
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State | SC
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Zip | 29512
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Country | US
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Telephone | 243-479-8357
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Fax | 843-479-8347
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Provider Business Mailing Address
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Address Line | PO BOX 604093
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City | CHARLOTTE
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State | NC
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Zip | 28260-4093
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Country | US
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Telephone | 910-291-7000
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | LUCIEN STONGE
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Credential |
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Telephone | 910-291-7547
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 36237
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License Number State | NC
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