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General NPI Number Information
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NPI Number | 1619318276
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Entity Type | Individual
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Provider Name | ROBIN AMANDA SECRIST APRN
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Gender | Female
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Dates
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Enumeration Date | 07/11/2013
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 1316 RUTLEDGE AVE
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City | CHARLESTON
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State | SC
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Zip | 29403-3050
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Country | US
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Telephone | 843-273-6532
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Fax |
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Provider Business Mailing Address
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Address Line | 1316 RUTLEDGE AVE
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City | CHARLESTON
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State | SC
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Zip | 29403-3050
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Country | US
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Telephone | 843-273-6532
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 22813
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License Number State | SC
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