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General NPI Number Information
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NPI Number | 1487803144
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Entity Type | Individual
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Provider Name | LYNN MARIE HUCK ANP
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Gender | Female
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Dates
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Enumeration Date | 09/17/2008
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 1301 TAYLOR ST STE 1A
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City | COLUMBIA
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State | SC
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Zip | 29201-2946
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Country | US
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Telephone | 803-434-4790
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Fax | 803-434-4799
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Provider Business Mailing Address
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Address Line | PO BOX 743904
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City | ATLANTA
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State | GA
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Zip | 30374-3904
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Country | US
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Telephone | 803-296-7320
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Fax | 803-296-7330
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4704419013
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | CNP81929
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 23044
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NUR-APRN-LIC-266604
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License Number State | MT
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