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General NPI Number Information
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NPI Number | 1063932812
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Entity Type | Individual
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Provider Name | ELIZABETH EASLER RN
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Gender | Female
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Dates
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Enumeration Date | 06/22/2017
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Last Update Date | 06/22/2017
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Provider Practice Location Address
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Address Line | 2000 HAMPTON ST
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City | COLUMBIA
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State | SC
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Zip | 29204-1002
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Country | US
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Telephone | 803-576-2980
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Fax |
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Provider Business Mailing Address
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Address Line | 3411 HEYWARD ST APT A
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City | COLUMBIA
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State | SC
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Zip | 29205-2767
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Country | US
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Telephone | 803-397-8729
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 233686
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 233686
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 233686
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | 233686
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License Number State | SC
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