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General NPI Number Information
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NPI Number | 1194501841
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Entity Type | Individual
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Provider Name | ALAINA HOLROYD GOSS RN
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Gender | Female
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Dates
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Enumeration Date | 09/07/2023
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 47 FISHERMAN LN
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City | GREENVILLE
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State | SC
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Zip | 29615-5013
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Country | US
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Telephone | 800-555-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 1056 BURDETTE RD
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City | GRAY COURT
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State | SC
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Zip | 29645-4715
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Country | US
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Telephone | 864-423-9202
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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 | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | 211999
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License Number State | SC
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