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General NPI Number Information
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NPI Number | 1457938078
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Entity Type | Organization
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Legal Business Name | IMPERIAL HEALTHCARE LLC
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Dates
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Enumeration Date | 03/28/2021
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Last Update Date | 03/28/2021
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Provider Practice Location Address
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Address Line | 1610B CALHOUN RD
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City | GREENWOOD
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State | SC
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Zip | 29649-8907
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Country | US
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Telephone | 864-407-4325
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Fax | 864-396-2034
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Provider Business Mailing Address
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Address Line | 540 ARBOR CREEK DR
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City | INMAN
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State | SC
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Zip | 29349-4300
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Country | US
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Telephone | 864-205-3809
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Fax | 864-396-2034
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Authorized Official
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Title or Position | FNP/ OWNER
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Name | BRITTANY LOCKHART
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Credential | FNP
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Telephone | 864-205-3809
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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 |
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License Number State |
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