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General NPI Number Information
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NPI Number | 1912198524
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Entity Type | Organization
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Legal Business Name | MIDLANDS ORTHOPAEDICS AND NEUROSURGERY, PA
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 1910 BLANDING STREET
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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 | 803-256-4107
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Fax | 803-933-6337
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Provider Business Mailing Address
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Address Line | 1910 BLANDING STREET
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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 | 803-256-4107
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Fax | 803-254-2825
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Authorized Official
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Title or Position | CEO
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Name | ANN MARGARET MCCRAW
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Credential |
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Telephone | 803-256-4107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | SC
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