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General NPI Number Information
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NPI Number | 1902864283
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Entity Type | Organization
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Legal Business Name | THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 03/30/2016
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Provider Practice Location Address
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Address Line | 3000 ST MATTHEWS RD
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City | ORANGEBURG
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State | SC
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Zip | 29118-1498
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Country | US
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Telephone | 803-395-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 ST MATTHEWS RD
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City | ORANGEBURG
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State | SC
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Zip | 29118-1498
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Country | US
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Telephone | 803-395-2200
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MS. LIZA M PORTERFIELD
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Credential |
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Telephone | 803-395-4458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | HTL046
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License Number State | SC
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