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General NPI Number Information
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NPI Number | 1164596656
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Entity Type | Individual
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Provider Name | RENEE HUTTO ALTMAN DPM
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Gender | Female
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 07/25/2019
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Provider Practice Location Address
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Address Line | 901 12TH ST
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City | WEST COLUMBIA
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State | SC
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Zip | 29033-3301
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Country | US
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Telephone | 803-796-0616
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Fax | 803-796-6771
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Provider Business Mailing Address
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Address Line | 8301 FARROW RD
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City | COLUMBIA
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State | SC
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Zip | 29203-3245
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Country | US
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Telephone | 803-935-5103
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 518
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License Number State | SC
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