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General NPI Number Information
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NPI Number | 1588383574
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Entity Type | Individual
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Provider Name | AMY DIXON FARMER NP
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Gender | Female
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Dates
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Enumeration Date | 08/24/2022
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Last Update Date | 04/12/2024
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Provider Practice Location Address
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Address Line | 103 LINER DR
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City | GREENWOOD
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State | SC
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Zip | 29646-2311
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Country | US
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Telephone | 864-227-3636
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Fax |
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Provider Business Mailing Address
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Address Line | 3601 OLD LAURENS RD
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City | GREENWOOD
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State | SC
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Zip | 29649-9777
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Country | US
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Telephone | 864-941-0185
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26923
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN217787
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License Number State | GA
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