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General NPI Number Information
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NPI Number | 1558845321
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Entity Type | Individual
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Provider Name | CELESTE MARIE SITTON FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/18/2018
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Last Update Date | 09/18/2018
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Provider Practice Location Address
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Address Line | 124 VERDAE BLVD STE 204
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City | GREENVILLE
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State | SC
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Zip | 29607-3844
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Country | US
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Telephone | 864-271-9780
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Fax | 864-271-9785
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Provider Business Mailing Address
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Address Line | 204 MAYFIELD RD
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City | EASLEY
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State | SC
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Zip | 29642-9583
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Country | US
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Telephone | 864-630-8624
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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 | 22007
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License Number State | SC
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