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General NPI Number Information
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NPI Number | 1558937326
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Entity Type | Individual
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Provider Name | ERICA RUTLEDGE SAINT-PREUX
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Gender | Female
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Dates
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Enumeration Date | 06/02/2021
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 1601 GREEN ST
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City | COLUMBIA
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State | SC
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Zip | 29208-2857
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Country | US
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Telephone | 803-777-7412
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 GREENE ST
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City | COLUMBIA
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State | SC
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Zip | 29208-4001
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Country | US
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Telephone | 803-777-7412
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 219743
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License Number State | SC
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