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General NPI Number Information
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NPI Number | 1174498687
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Entity Type | Individual
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Provider Name | CORAETTA A ROBINSON- HOWELL
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Gender | Female
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 4760 HARD SCRABBLE RD STE 100-1000
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City | COLUMBIA
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State | SC
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Zip | 29229-8625
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Country | US
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Telephone | 803-210-0420
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Fax |
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Provider Business Mailing Address
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Address Line | 401 MCNULTY ST UNIT 263
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City | BLYTHEWOOD
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State | SC
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Zip | 29016-5011
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Country | US
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Telephone | 803-210-0420
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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 | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State | SC
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