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General NPI Number Information
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NPI Number | 1346006376
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Entity Type | Individual
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Provider Name | KANDICE PRIMES PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/27/2024
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 2141 HOFFMEYER RD STE B
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City | FLORENCE
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State | SC
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Zip | 29501-4077
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Country | US
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Telephone | 843-945-1452
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Fax |
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Provider Business Mailing Address
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Address Line | 2141 HOFFMEYER RD STE B
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City | FLORENCE
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State | SC
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Zip | 29501-4077
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Country | US
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Telephone | 843-945-1452
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 214832
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 30438
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License Number State | SC
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