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General NPI Number Information
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NPI Number | 1508189184
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Entity Type | Individual
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Provider Name | JENNIFER GAINER PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/10/2010
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 197 PIEDMONT BLVD STE 100
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City | ROCK HILL
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State | SC
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Zip | 29732-1825
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Country | US
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Telephone | 803-324-1950
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Fax | 803-324-1933
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Provider Business Mailing Address
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Address Line | PO BOX 1430
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City | HARRISONBURG
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State | VA
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Zip | 22803-1430
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Country | US
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Telephone | 540-689-5800
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Fax | 757-431-7136
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2288
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110006137
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 1947
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1947
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License Number State | SC
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