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General NPI Number Information
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NPI Number | 1508629049
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Entity Type | Individual
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Provider Name | KARI ANN YOCUM FNP
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Gender | Female
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Dates
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Enumeration Date | 02/06/2024
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 180 WINGO WAY STE 101
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City | MOUNT PLEASANT
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State | SC
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Zip | 29464-1810
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Country | US
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Telephone | 843-800-1215
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Fax |
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Provider Business Mailing Address
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Address Line | 117 BOX GIRDER RD
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City | HUGER
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State | SC
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Zip | 29450-8530
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Country | US
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Telephone | 843-670-9563
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 28096
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License Number State | SC
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