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General NPI Number Information
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NPI Number | 1457228066
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Entity Type | Individual
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Provider Name | MS. K'ARA GARRETT
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Gender | Female
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/25/2025
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Provider Practice Location Address
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Address Line | 1117 WOODRUFF RD # J1
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City | GREENVILLE
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State | SC
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Zip | 29607-4151
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Country | US
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Telephone | 864-214-5904
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Fax |
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Provider Business Mailing Address
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Address Line | 1117 WOODRUFF RD
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City | GREENVILLE
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State | SC
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Zip | 29607-4151
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Country | US
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Telephone | 864-214-5904
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 91501
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License Number State | SC
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