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NPI 1295329423

NPI 1295329423 : STEPHANIE FRANZEN FNP : SUMMERVILLE, SC

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General NPI Number Information
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    NPI Number           |    1295329423
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    Entity Type          |    Individual 
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    Provider Name        |    STEPHANIE FRANZEN FNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/28/2021
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    Last Update Date     |    04/23/2025
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Provider Practice Location Address
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    Address Line         |    1525 OLD TROLLEY RD STE H 
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    City                 |    SUMMERVILLE
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    State                |    SC
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    Zip                  |    29485-8928
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    Country              |    US
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    Telephone            |    843-212-8080
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 751649 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28275-1649
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    Country              |    US
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    Telephone            |    888-472-0043
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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        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    SC
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    25249
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    License Number State |    SC
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