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General NPI Number Information
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NPI Number | 1437258191
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Entity Type | Individual
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Provider Name | DEBORAH L HIPP NP
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Gender | Female
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 05/02/2013
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Provider Practice Location Address
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Address Line | 152 WACCAMAW MEDICAL PARK DR
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City | CONWAY
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State | SC
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Zip | 29526-8901
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Country | US
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Telephone | 866-418-9211
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Fax | 866-469-9514
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Provider Business Mailing Address
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Address Line | 2420 GIST LN
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City | MYRTLE BEACH
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State | SC
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Zip | 29588-5438
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Country | US
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Telephone | 866-418-9211
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Fax | 866-469-9514
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F1320
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License Number State | SC
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