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General NPI Number Information
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NPI Number | 1164841508
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Entity Type | Individual
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Provider Name | MYRA BARWICK
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Gender | Female
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Dates
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Enumeration Date | 04/14/2014
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Last Update Date | 04/14/2014
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Provider Practice Location Address
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Address Line | 834 KINARD RD
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City | ISLANDTON
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State | SC
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Zip | 29929-5408
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Country | US
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Telephone | 843-866-2580
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Fax |
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Provider Business Mailing Address
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Address Line | 834 KINARD RD
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City | ISLANDTON
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State | SC
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Zip | 29929-5408
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Country | US
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Telephone | 843-866-2580
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 29081
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License Number State | SC
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