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General NPI Number Information
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NPI Number | 1285440503
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Entity Type | Individual
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Provider Name | KRISTEN BRAMMER HIGGINS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 1220 SUMNER AVE
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-3822
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Country | US
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Telephone | 843-225-1115
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Fax |
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Provider Business Mailing Address
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Address Line | 705 PRESERVATION PL
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City | MOUNT PLEASANT
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State | SC
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Zip | 29464-5197
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Country | US
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Telephone | 804-306-8795
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 27255
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License Number State | SC
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