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General NPI Number Information
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NPI Number | 1508742792
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Entity Type | Individual
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Provider Name | MR. NIGEL BROWN
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Gender | Male
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 61 HICKORY HILL RD STE F
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City | VARNVILLE
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State | SC
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Zip | 29944-5200
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Country | US
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Telephone | 803-903-1265
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Fax |
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Provider Business Mailing Address
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Address Line | 1626 CO OP RD E
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City | HAMPTON
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State | SC
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Zip | 29924-5823
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Country | US
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Telephone | 803-903-1265
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | IHCP-2548
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License Number State | SC
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