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General NPI Number Information
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NPI Number | 1467362210
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Entity Type | Individual
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Provider Name | KATIE BETH NWANEGWO WHNP
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Gender | Female
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 2376 CYPRESS CIR
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City | CONWAY
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State | SC
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Zip | 29526-8964
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Country | US
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Telephone | 843-347-7216
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Fax |
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Provider Business Mailing Address
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Address Line | 2017 SAGE DR
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City | MYRTLE BEACH
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State | SC
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Zip | 29588-4207
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Country | US
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Telephone | 608-695-3178
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 31626
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License Number State | SC
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