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General NPI Number Information
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NPI Number | 1922347897
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Entity Type | Organization
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Legal Business Name | DOCTORS CARE SC, PA
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Dates
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Enumeration Date | 02/12/2013
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Last Update Date | 09/09/2020
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Provider Practice Location Address
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Address Line | 6704 WHITE HORSE RD
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City | GREENVILLE
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State | SC
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Zip | 29611-2504
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Country | US
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Telephone | 864-294-1392
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Fax | 864-294-0424
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Provider Business Mailing Address
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Address Line | 1818 HENDERSON ST
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City | COLUMBIA
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State | SC
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Zip | 29201-2619
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Country | US
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Telephone | 803-758-2600
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Fax | 803-253-8896
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DR. SHELLEY JANSSEN
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Credential | MD
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Telephone | 803-782-4278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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