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General NPI Number Information
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NPI Number | 1588976989
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Entity Type | Individual
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Provider Name | DEBRA P WELLINGTON SCHAS-452
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Gender | Female
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Dates
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Enumeration Date | 07/14/2010
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Last Update Date | 08/21/2019
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Provider Practice Location Address
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Address Line | 158 S CASHUA DR
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City | FLORENCE
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State | SC
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Zip | 29501-4080
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Country | US
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Telephone | 843-662-7181
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Fax | 843-662-7181
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Provider Business Mailing Address
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Address Line | 376 W PALMETTO ST
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City | FLORENCE
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State | SC
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Zip | 29501-4418
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Country | US
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Telephone | 843-662-7181
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Fax | 843-662-7181
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HAS-0456
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License Number State | SC
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