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General NPI Number Information
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NPI Number | 1285024075
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Entity Type | Individual
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Provider Name | HEATHER MARLOWE RN
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Gender | Female
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Dates
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Enumeration Date | 01/31/2015
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Last Update Date | 01/31/2015
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Provider Practice Location Address
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Address Line | 1070 S LAKE DR SUITE B
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City | LEXINGTON
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State | SC
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Zip | 29073-3701
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Country | US
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Telephone | 803-785-6550
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Fax |
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Provider Business Mailing Address
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Address Line | 424 WINDING WAY
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City | COLUMBIA
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State | SC
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Zip | 29212-1339
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Country | US
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Telephone | 803-667-9784
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 210803
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License Number State | SC
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