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General NPI Number Information
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NPI Number | 1154369353
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Entity Type | Individual
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Provider Name | WILLIAM FURMAN MELTON JR. FNP- BC
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Gender | Male
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 04/01/2009
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Provider Practice Location Address
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Address Line | 217 LEMACKS ST
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City | WALTERBORO
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State | SC
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Zip | 29488
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Country | US
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Telephone | 843-549-1516
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Fax |
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Provider Business Mailing Address
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Address Line | 8224 SHERGOULD LN
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City | EDISTO IS
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State | SC
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Zip | 29438
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Country | US
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Telephone | 803-517-5444
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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 | F1456
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License Number State | SC
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