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General NPI Number Information
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NPI Number | 1609737279
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Entity Type | Organization
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Legal Business Name | HEALTHCARE SPECTRUM LLC
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Dates
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Enumeration Date | 11/21/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1708 MAIN ST
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City | COLUMBIA
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State | SC
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Zip | 29201-2820
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Country | US
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Telephone | 704-727-6688
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Fax | 704-688-1209
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Provider Business Mailing Address
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Address Line | 715 E 5TH ST # 216
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City | CHARLOTTE
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State | NC
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Zip | 28202-3001
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Country | US
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Telephone | 704-727-6688
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Fax | 704-688-1209
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Authorized Official
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Title or Position | OWNER
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Name | DR. ARNIE WYNN
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Credential |
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Telephone | 704-727-6688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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