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General NPI Number Information
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NPI Number | 1497292254
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Entity Type | Individual
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Provider Name | ERIN MARIE HIVELY FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/31/2017
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Last Update Date | 05/04/2025
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Provider Practice Location Address
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Address Line | 1102 E 55TH ST
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City | SAVANNAH
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State | GA
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Zip | 31404-4612
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Country | US
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Telephone | 912-655-5614
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Fax | 912-358-1501
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Provider Business Mailing Address
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Address Line | 626 E 49TH ST
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City | SAVANNAH
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State | GA
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Zip | 31405-2453
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Country | US
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Telephone | 828-832-6334
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Fax | 912-358-1501
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN305784
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License Number State | NC
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