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General NPI Number Information
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NPI Number | 1164238408
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Entity Type | Individual
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Provider Name | AMARY SMITH DOEHLING FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 02/01/2025
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Provider Practice Location Address
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Address Line | 1201 CAROLNA PLACE DR
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City | FORT MILL
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State | SC
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Zip | 29708-0014
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Country | US
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Telephone | 704-308-2557
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Fax |
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Provider Business Mailing Address
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Address Line | 3037 HILTON RD
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City | ROCK HILL
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State | SC
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Zip | 29732-9372
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Country | US
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Telephone | 803-230-0990
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 29703
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License Number State | SC
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