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General NPI Number Information
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NPI Number | 1598115511
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Entity Type | Individual
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Provider Name | MEREDITH WATSON EVERETT
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Gender | Female
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Dates
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Enumeration Date | 06/21/2016
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Last Update Date | 03/04/2020
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Provider Practice Location Address
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Address Line | 1740 SAINT JULIAN PL
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City | COLUMBIA
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State | SC
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Zip | 29204-2410
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Country | US
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Telephone | 803-256-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 161 MORNING LAKE DR
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City | LEXINGTON
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State | SC
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Zip | 29072-7519
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Country | US
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Telephone | 803-767-2913
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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 | 20268
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License Number State | SC
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