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General NPI Number Information
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NPI Number | 1518516491
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Entity Type | Individual
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Provider Name | NICOLE CROTTS SCRUGGS
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Gender | Female
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Dates
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Enumeration Date | 09/04/2019
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 374 HUDLOW RD
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City | FOREST CITY
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State | NC
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Zip | 28043-9444
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Country | US
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Telephone | 828-245-0095
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Fax | 828-248-9434
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Provider Business Mailing Address
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Address Line | 187 N CHURCH ST STE 201
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City | SPARTANBURG
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State | SC
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Zip | 29306-5154
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Country | US
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Telephone | 800-932-2738
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Fax | 888-761-8483
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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 | 152056
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License Number State | NC
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