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General NPI Number Information
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NPI Number | 1215709472
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Entity Type | Individual
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Provider Name | CHRISANTHE RENA GARILAS APRN
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Gender | Female
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Dates
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Enumeration Date | 10/23/2023
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 765 HAYWOOD RD
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City | GREENVILLE
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State | SC
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Zip | 29607-2772
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Country | US
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Telephone | 864-520-2020
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Fax | 864-640-4400
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Provider Business Mailing Address
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Address Line | 20 OVERBROOK CT APT 107
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City | GREENVILLE
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State | SC
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Zip | 29607-1369
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Country | US
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Telephone | 603-327-7498
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 285520
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License Number State | SC
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