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General NPI Number Information
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NPI Number | 1578000840
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Entity Type | Individual
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Provider Name | DANIELLE ANN ALTMAN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/25/2017
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Last Update Date | 01/29/2021
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Provider Practice Location Address
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Address Line | 755 E SMITH ST
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City | TIMMONSVILLE
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State | SC
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Zip | 29161-9430
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Country | US
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Telephone | 843-346-3900
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Fax | 843-346-7839
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Provider Business Mailing Address
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Address Line | 506 EAST CHEVES STREET SUITE 202
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City | FLORENCE
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State | SC
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Zip | 29506-2616
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Country | US
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Telephone | 843-665-0102
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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 | 20709
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License Number State | SC
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