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General NPI Number Information
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NPI Number | 1255314472
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Entity Type | Individual
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Provider Name | PAUL T ESCOTT NP
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Gender | Male
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Dates
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Enumeration Date | 11/22/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9 RICHLAND MEDICAL PARK DR SUITE 360
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City | COLUMBIA
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State | SC
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Zip | 29203-6859
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Country | US
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Telephone | 803-434-7403
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Fax | 803-434-3587
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Provider Business Mailing Address
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Address Line | 1333 TAYLOR ST
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City | COLUMBIA
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State | SC
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Zip | 29220-0001
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Country | US
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Telephone | 803-296-3500
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Fax | 803-296-3965
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F300985
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License Number State | NY
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