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General NPI Number Information
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NPI Number | 1235949439
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Entity Type | Individual
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Provider Name | LEXIS LAMB ELLIOTT FNP
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Gender | Female
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 1096 ASSEMBLY DR STE 210
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City | FORT MILL
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State | SC
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Zip | 29708-6448
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Country | US
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Telephone | 704-368-0563
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Fax |
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Provider Business Mailing Address
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Address Line | 384 BEACON ST NW
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City | CONCORD
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State | NC
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Zip | 28027-5348
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Country | US
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Telephone | 704-280-0254
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 29602
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License Number State | SC
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