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General NPI Number Information
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NPI Number | 1295922433
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Entity Type | Individual
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Provider Name | AUDREY ANNE TREPICCIONE CPM, LM
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Gender | Female
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Dates
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Enumeration Date | 10/02/2007
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 4001 POINSETT ST
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City | NORTH MYRTLE BEACH
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State | SC
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Zip | 29582-5025
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Country | US
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Telephone | 843-274-6304
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Fax | 843-419-8818
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Provider Business Mailing Address
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Address Line | 4001 POINSETT ST
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City | NORTH MYRTLE BEACH
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State | SC
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Zip | 29582-5025
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Country | US
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Telephone | 919-345-6881
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Fax | 919-773-3523
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | LMW-0088
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License Number State | SC
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