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General NPI Number Information
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NPI Number | 1992739015
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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 | 07/11/2006
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Last Update Date | 06/01/2010
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Provider Practice Location Address
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Address Line | 557 COLUMBIA AVENUE SUITE D
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City | CHAPIN
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State | SC
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Zip | 29036
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Country | US
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Telephone | 803-345-1288
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Fax | 803-345-1623
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Provider Business Mailing Address
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Address Line | 557 COLUMBIA AVENUE SUITE D
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City | CHAPIN
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State | SC
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Zip | 29036
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Country | US
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Telephone | 803-345-1288
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Fax | 803-345-1623
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Authorized Official
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Title or Position | CFO & SR. VP
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Name | MELINDA P KRUZNER
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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