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General NPI Number Information
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NPI Number | 1154042901
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Entity Type | Individual
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Provider Name | STEVEN PEARCE FNP-C
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Gender | Male
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Dates
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Enumeration Date | 09/09/2022
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Last Update Date | 09/09/2022
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Provider Practice Location Address
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Address Line | 8 OKATIE CENTER BLVD S STE 101
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City | OKATIE
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State | SC
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Zip | 29909-7534
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Country | US
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Telephone | 843-682-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 80 JASMINE HALL RD
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City | SEABROOK
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State | SC
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Zip | 29940-2811
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Country | US
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Telephone | 616-262-7358
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26578
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License Number State | SC
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