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General NPI Number Information
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NPI Number | 1982227716
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Entity Type | Organization
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Legal Business Name | FLORENCE TREATMENT SPECIALISTS LLC
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Dates
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Enumeration Date | 05/27/2020
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Last Update Date | 09/24/2020
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Provider Practice Location Address
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Address Line | 1591 S IRBY ST
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City | FLORENCE
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State | SC
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Zip | 29505-3409
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Country | US
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Telephone | 864-909-7834
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Fax |
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Provider Business Mailing Address
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Address Line | 1591 S IRBY ST
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City | FLORENCE
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State | SC
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Zip | 29505-3409
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Country | US
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Telephone | 843-206-0845
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. ANDREW SIMPSON
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Credential | DO
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Telephone | 864-909-7834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number |
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License Number State |
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