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General NPI Number Information
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NPI Number | 1104789486
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Entity Type | Individual
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Provider Name | TERRI HANNIBAL RN
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Gender | Female
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 105 N MAGNOLIA ST
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City | SUMTER
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State | SC
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Zip | 29150-4941
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Country | US
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Telephone | 803-667-7301
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Fax |
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Provider Business Mailing Address
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Address Line | 2655 SNOW LN
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City | REMBERT
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State | SC
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Zip | 29128-8871
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Country | US
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Telephone | 803-667-7301
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 101043
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License Number State | SC
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