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General NPI Number Information
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NPI Number | 1386609030
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Entity Type | Individual
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Provider Name | LYNDA MYHRE STILES APRN, APN
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Gender | Female
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 05/03/2022
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Provider Practice Location Address
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Address Line | 4303 LIVE OAK DR
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City | LITTLE RIVER
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State | SC
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Zip | 29566-9138
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Country | US
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Telephone | 843-663-8000
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Fax | 843-663-8166
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Provider Business Mailing Address
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Address Line | PO BOX 547
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City | LITTLE RIVER
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State | SC
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Zip | 29566-0547
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Country | US
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Telephone | 843-663-8000
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Fax | 843-663-8166
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NN08722000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 24941
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License Number State | SC
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