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General NPI Number Information
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NPI Number | 1154215440
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Entity Type | Individual
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Provider Name | REGAN ELIZABETH PRATT DDS
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Gender | Female
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 1971 N MAIN ST
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City | SUMMERVILLE
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State | SC
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Zip | 29486-7890
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Country | US
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Telephone | 843-871-0842
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Fax |
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Provider Business Mailing Address
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Address Line | 11 KIRKLAND LN
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City | CHARLESTON
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State | SC
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Zip | 29401-1751
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Country | US
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Telephone | 985-377-8139
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 11110
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License Number State | SC
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