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General NPI Number Information
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NPI Number | 1144302183
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Entity Type | Individual
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Provider Name | LINDA GAIL HANCOCK CNM
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Gender | Female
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 120 N LAKE DR
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City | LEXINGTON
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State | SC
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Zip | 29072-2836
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Country | US
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Telephone | 803-808-1717
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Fax |
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Provider Business Mailing Address
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Address Line | 155 WHISPERING WINDS DR
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City | LEXINGTON
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State | SC
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Zip | 29072
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Country | US
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Telephone | 803-808-9556
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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 | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | M69459
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License Number State | SC
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