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NPI 1407237688

NPI 1407237688 : NILA MANANDHAR M.D. : WEST COLUMBIA, SC

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General NPI Number Information
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    NPI Number           |    1407237688
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    Entity Type          |    Individual 
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    Provider Name        |    NILA MANANDHAR M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/14/2015
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    Last Update Date     |    12/12/2025
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Provider Practice Location Address
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    Address Line         |    145 SUNSET CT STE 200 
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    City                 |    WEST COLUMBIA
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    State                |    SC
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    Zip                  |    29169-2464
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    Country              |    US
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    Telephone            |    803-314-9360
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    Fax                  |    803-314-9361
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Provider Business Mailing Address
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    Address Line         |    PO BOX 6069 
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    City                 |    WEST COLUMBIA
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    State                |    SC
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    Zip                  |    29171-6069
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    Country              |    US
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    Telephone            |    803-314-9360
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    Fax                  |    803-314-9361
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    38298
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    License Number State |    SC
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    LL38298
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    License Number State |    SC
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