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General NPI Number Information
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NPI Number | 1164287678
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH AND URGENT CARE LLC
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Dates
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Enumeration Date | 02/14/2024
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 107 W COLLEGE AVE
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City | HARTSVILLE
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State | SC
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Zip | 29550-4113
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Country | US
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Telephone | 843-951-0053
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Fax | 843-951-0054
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Provider Business Mailing Address
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Address Line | 107 W COLLEGE AVE
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City | HARTSVILLE
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State | SC
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Zip | 29550-4113
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Country | US
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Telephone | 843-951-0053
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Fax | 843-951-0054
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Authorized Official
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Title or Position | OWNER
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Name | PROF. VICKY CRAIG
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Credential | FNP-C, PGD
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Telephone | 843-517-9422
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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 |
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License Number State |
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