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General NPI Number Information
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NPI Number | 1134040512
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Entity Type | Individual
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Provider Name | HANNAH ELLIZABETH WOOTTEN
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Gender | Female
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 102 ROCKCREEK BLVD
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City | GREENWOOD
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State | SC
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Zip | 29649-8915
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Country | US
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Telephone | 864-725-5020
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Fax |
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Provider Business Mailing Address
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Address Line | 435 CHESTER ST
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City | WILLISTON
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State | SC
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Zip | 29853-6649
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Country | US
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Telephone | 803-443-8100
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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 | SC
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