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General NPI Number Information
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NPI Number | 1932554466
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Entity Type | Organization
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Legal Business Name | PALMETTO HEALTH RICHLAND
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Dates
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Enumeration Date | 05/03/2016
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Last Update Date | 06/13/2016
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Provider Practice Location Address
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Address Line | 5 MEDICAL PARK RD.
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City | COLUMBIA
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State | SC
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Zip | 29203-6863
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Country | US
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Telephone | 803-434-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 5 MEDICAL PARK RD.
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City | COLUMBIA
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State | SC
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Zip | 29203-6863
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CRNA
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Name | BRITTNEY SKILES
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Credential |
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Telephone | 803-434-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 213505
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License Number State | SC
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