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General NPI Number Information
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NPI Number | 1316800782
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Entity Type | Organization
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Legal Business Name | HEALTH EVOLVE TECHNOLOGIES
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 121 EXECUTIVE CENTER DR STE 106
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City | COLUMBIA
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State | SC
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Zip | 29210-8418
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Country | US
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Telephone | 803-268-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 121 EXECUTIVE CENTER DR STE 106
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City | COLUMBIA
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State | SC
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Zip | 29210-8418
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Country | US
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Telephone | 803-268-3700
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | KIMBERLY SMITH
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Credential | MHA, FACHE
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Telephone | 803-268-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 364SW0102X
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Taxonomy Name | Women's Health Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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