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General NPI Number Information
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NPI Number | 1922706555
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Entity Type | Organization
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Legal Business Name | DAYSPRING OF JOHNS ISLAND
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Dates
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Enumeration Date | 02/22/2023
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 3455 BOHICKET RD
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City | JOHNS ISLAND
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State | SC
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Zip | 29455-7222
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Country | US
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Telephone | 843-889-9757
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Fax |
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Provider Business Mailing Address
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Address Line | 3455 BOHICKET RD
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City | JOHNS ISLAND
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State | SC
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Zip | 29455-7222
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Country | US
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Telephone | 843-889-9757
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | GRAEME BROWN MARSHALL
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Credential | OWNER
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Telephone | 843-768-5335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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