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General NPI Number Information
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NPI Number | 1962410845
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Entity Type | Organization
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Legal Business Name | GREENVILLE HEALTH SYSTEM
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 12/02/2015
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Provider Practice Location Address
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Address Line | 101 COTTAGE CREEK CIR
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City | GREER
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State | SC
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Zip | 29650-2438
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Country | US
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Telephone | 864-797-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 1 INDEPENDENCE PT SUITE 212
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City | GREENVILLE
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State | SC
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Zip | 29615-4545
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Country | US
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Telephone | 864-797-6308
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | MICHAEL C. RIORDAN
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Credential |
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Telephone | 864-797-7808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | NCF-945
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License Number State | SC
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