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General NPI Number Information
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NPI Number | 1952657223
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Entity Type | Organization
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Legal Business Name | GYNECOLOGY ASSOCIATES OF BEAUFORT PC
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Dates
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Enumeration Date | 07/24/2012
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Last Update Date | 07/26/2012
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Provider Practice Location Address
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Address Line | 1835 N PARIS AVE SUITE 108
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City | PORT ROYAL
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State | SC
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Zip | 29935-2029
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Country | US
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Telephone | 843-812-0483
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Fax |
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Provider Business Mailing Address
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Address Line | 109 S HERMITAGE RD
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City | BEAUFORT
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State | SC
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Zip | 29902-5713
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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 | OWNER
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Name | PATRICIA THOMPSON
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Credential | MD
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Telephone | 843-812-0483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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