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General NPI Number Information
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NPI Number | 1902283740
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Entity Type | Organization
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Legal Business Name | MCLEOD HEALTH CHERAW
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Dates
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Enumeration Date | 04/30/2015
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Last Update Date | 02/25/2019
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Provider Practice Location Address
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Address Line | 711 CHESTERFIELD HWY
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City | CHERAW
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State | SC
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Zip | 29520-7002
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Country | US
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Telephone | 843-537-7881
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 100567
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City | FLORENCE
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State | SC
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Zip | 29502-0567
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SR VICE PRESIDENT & CFO
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Name | SAMUEL F ERVIN III
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Credential |
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Telephone | 843-777-2910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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