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General NPI Number Information
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NPI Number | 1295254563
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Entity Type | Individual
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Provider Name | CARLIN WILLETT DNP, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/18/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5B OWENS LN
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City | MAULDIN
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State | SC
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Zip | 29662-2635
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Country | US
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Telephone | 864-288-4765
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Fax | 864-288-1122
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Provider Business Mailing Address
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Address Line | 5B OWENS LN
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City | MAULDIN
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State | SC
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Zip | 29662-2635
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Country | US
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Telephone | 864-288-4765
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Fax | 864-288-1122
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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 | 21306
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License Number State | SC
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