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General NPI Number Information
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NPI Number | 1962138321
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Entity Type | Organization
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Legal Business Name | BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA
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Dates
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Enumeration Date | 07/28/2022
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Last Update Date | 07/28/2022
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Provider Practice Location Address
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Address Line | 8901 FARROW RD
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City | COLUMBIA
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State | SC
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Zip | 29203-8930
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Country | US
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Telephone | 803-264-1612
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Fax |
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Provider Business Mailing Address
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Address Line | 8901 FARROW RD
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City | COLUMBIA
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State | SC
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Zip | 29203-8930
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Country | US
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Telephone | 803-264-1612
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | HEATHER HEMBY
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Credential |
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Telephone | 38-264-1612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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