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General NPI Number Information
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NPI Number | 1437583002
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Entity Type | Individual
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Provider Name | JANET WASHINGTON NURSE
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Gender | Female
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Dates
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Enumeration Date | 08/30/2013
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Last Update Date | 08/30/2013
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Provider Practice Location Address
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Address Line | 75 CALHOUN ST
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City | CHARLESTON
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State | SC
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Zip | 29401-3538
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Country | US
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Telephone | 843-965-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 1476 ORANGE GROVE RD APT F145
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City | CHARLESTON
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State | SC
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Zip | 29407-3668
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Country | US
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Telephone | 843-330-8239
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | P12307
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License Number State | SC
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