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General NPI Number Information
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NPI Number | 1922114305
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Entity Type | Organization
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Legal Business Name | RADIOLOGY ASSOC OF CAROLINAS LLC
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 07/29/2010
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Provider Practice Location Address
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Address Line | 110B HOSPITAL DR
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-3226
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Country | US
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Telephone | 864-228-0355
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Fax | 864-228-4827
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Provider Business Mailing Address
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Address Line | PO BOX 669
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-0669
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Country | US
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Telephone | 864-228-2303
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Fax | 864-228-3662
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Authorized Official
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Title or Position | OWNER
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Name | JENNINGS G PRESSLY
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Credential | MD
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Telephone | 864-228-2303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 7489
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number | 19641
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number | 7489
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | 19641
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | 7489
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License Number State | SC
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Taxonomy #6
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Taxonomy Code | 207UN0902X
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Taxonomy Name | Nuclear Imaging & Therapy Physician
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License Number | 7489
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License Number State | SC
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Taxonomy #7
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Taxonomy Code | 207UN0902X
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Taxonomy Name | Nuclear Imaging & Therapy Physician
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License Number | 19641
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License Number State | NC
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Taxonomy #8
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Taxonomy Code | 207RM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Internal Medicine Physician
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License Number | 7489
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License Number State | SC
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Taxonomy #9
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Taxonomy Code | 207RM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Internal Medicine Physician
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License Number | 19641
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License Number State | NC
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Taxonomy #10
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | 7489
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License Number State | SC
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Taxonomy #11
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | 19641
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License Number State | NC
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Taxonomy #12
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | 7489
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License Number State | SC
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Taxonomy #13
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | 19641
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License Number State | NC
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Taxonomy #14
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 7489
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License Number State | SC
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Taxonomy #15
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 19641
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License Number State | NC
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