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General NPI Number Information
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NPI Number | 1619307956
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Entity Type | Individual
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Provider Name | FELICIA MINNIETTE HEYWARD DNP
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Gender | Female
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Dates
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Enumeration Date | 11/23/2013
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 531 OXFORD ST STE C1
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City | SUMTER
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State | SC
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Zip | 29150-3300
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Country | US
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Telephone | 803-792-9002
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Fax | 803-792-9006
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Provider Business Mailing Address
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Address Line | PO BOX 3149
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City | SUMTER
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State | SC
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Zip | 29151-3149
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Country | US
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Telephone | 803-792-9001
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Fax | 803-792-9006
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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 | 18597
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | TP18597
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | C-APN.0003237-C-NP
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 18597
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License Number State | SC
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