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General NPI Number Information
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NPI Number | 1609546472
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Entity Type | Individual
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Provider Name | HANNAH CARSTEN CRAIG FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/14/2021
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Last Update Date | 01/20/2023
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Provider Practice Location Address
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Address Line | 276 N RON MCNAIR BLVD
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City | LAKE CITY
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State | SC
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Zip | 29560-2462
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Country | US
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Telephone | 843-792-1414
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 23467
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City | NEW YORK
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State | NY
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Zip | 10087-3221
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Country | US
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Telephone | 843-792-6200
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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 | 25264
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License Number State | SC
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