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General NPI Number Information
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NPI Number | 1922000702
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Entity Type | Organization
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Legal Business Name | ALLEN L SLOAN MD PC
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 10/23/2012
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Provider Practice Location Address
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Address Line | 1168 W MARTINTOWN RD
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City | NORTH AUGUSTA
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State | SC
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Zip | 29841-2046
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Country | US
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Telephone | 803-202-0053
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Fax | 803-202-0018
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Provider Business Mailing Address
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Address Line | 1168 W MARTINTOWN RD
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City | NORTH AUGUSTA
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State | SC
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Zip | 29841-2046
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Country | US
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Telephone | 803-202-0053
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Fax | 803-202-0018
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Authorized Official
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Title or Position | OWNER/ PHYSICIAN
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Name | ALLEN L SLOAN
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Credential | M.D.
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Telephone | 803-202-0053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 14285
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License Number State | SC
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