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General NPI Number Information
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NPI Number | 1073436820
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Entity Type | Individual
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Provider Name | TANASIA PEAT
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Gender | Female
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Dates
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Enumeration Date | 07/30/2026
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Last Update Date | 07/30/2026
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Provider Practice Location Address
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Address Line | 361 HARBOUR POINTE DR
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City | COLUMBIA
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State | SC
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Zip | 29229-7483
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Country | US
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Telephone | 347-893-1301
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Fax |
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Provider Business Mailing Address
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Address Line | 2715 COLONIAL DR
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City | COLUMBIA
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State | SC
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Zip | 29203-6818
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Country | US
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Telephone | 803-935-5735
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Fax | 803-935-5939
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 288514
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License Number State | SC
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