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General NPI Number Information
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NPI Number | 1972997583
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Entity Type | Organization
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Legal Business Name | LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
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Dates
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Enumeration Date | 03/20/2015
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Last Update Date | 09/25/2020
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Provider Practice Location Address
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Address Line | 222 EAST MEDICAL LANE, STE 200
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-4801
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Country | US
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Telephone | 803-935-8410
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Fax | 803-936-7816
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Provider Business Mailing Address
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Address Line | PO BOX 896239
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City | CHARLOTTE
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State | NC
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Zip | 28289-6239
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Country | US
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Telephone | 803-935-8410
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Fax | 803-936-7816
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | MELINDA SARVIS
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Credential |
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Telephone | 803-791-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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