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General NPI Number Information
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NPI Number | 1023772530
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Entity Type | Individual
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Provider Name | CHRISTIN LEE VAN HOY PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/30/2021
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Last Update Date | 11/23/2021
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Provider Practice Location Address
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Address Line | 838 W MEETING ST STE H
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City | LANCASTER
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State | SC
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Zip | 29720-6261
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Country | US
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Telephone | 227-380-3285
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Fax |
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Provider Business Mailing Address
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Address Line | 11 GAITWOOD CT
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City | COLUMBIA
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State | SC
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Zip | 29212-2823
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Country | US
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Telephone | 843-693-5012
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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