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General NPI Number Information
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NPI Number | 1407966963
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Entity Type | Individual
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Provider Name | JANICE M EWART APRN
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 10/12/2007
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Provider Practice Location Address
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Address Line | 1200 HIGHMARKET ST SUITE 200
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City | GEORGETOWN
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State | SC
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Zip | 29440-3227
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Country | US
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Telephone | 843-546-8421
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Fax | 843-546-1173
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Provider Business Mailing Address
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Address Line | 1200 HIGHMARKET ST SUITE 200
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City | GEORGETOWN
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State | SC
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Zip | 29440-3227
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Country | US
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Telephone | 843-546-8421
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Fax | 843-546-1173
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 506
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License Number State | SC
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