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General NPI Number Information
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NPI Number | 1952352676
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Entity Type | Organization
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Legal Business Name | PICKENS FAMILY PRACTICE
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 07/24/2007
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Provider Practice Location Address
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Address Line | 837 PENDLETON ST
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City | PICKENS
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State | SC
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Zip | 29671-2578
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Country | US
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Telephone | 864-878-4532
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Fax | 864-878-3830
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Provider Business Mailing Address
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Address Line | 837 PENDLETON ST
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City | PICKENS
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State | SC
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Zip | 29671-2578
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Country | US
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Telephone | 864-878-4532
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Fax | 864-878-3830
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. CHARLES RICHARD CURRY
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Credential | MD
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Telephone | 864-878-4532
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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 | 16709
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 851
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License Number State | SC
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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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