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General NPI Number Information
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NPI Number | 1922895127
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Entity Type | Organization
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Legal Business Name | LEXINGTON HEALTH INC
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 557 COLUMBIA AVE STE B
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City | CHAPIN
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State | SC
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Zip | 29036-8324
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Country | US
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Telephone | 803-345-3414
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Fax | 803-345-1672
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Provider Business Mailing Address
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Address Line | PO BOX 6069
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City | WEST COLUMBIA
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State | SC
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Zip | 29171-6069
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Country | US
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Telephone | 803-345-3414
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Fax | 803-345-1672
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Authorized Official
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Title or Position | SENIOR VP/ CFO
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Name | JEFFREY BRILLHART
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Credential |
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Telephone | 803-791-2967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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