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General NPI Number Information
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NPI Number | 1619346038
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Entity Type | Individual
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Provider Name | KAY ELIZABETH GIANANTONIO CNP
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Gender | Female
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Dates
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Enumeration Date | 09/15/2015
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 240 HIGHWAY 17 N
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City | NORTH MYRTLE BEACH
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State | SC
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Zip | 29582-2938
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Country | US
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Telephone | 843-310-4969
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Fax | 843-213-6946
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Provider Business Mailing Address
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Address Line | 240 HIGHWAY 17 N
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City | NORTH MYRTLE BEACH
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State | SC
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Zip | 29582-2938
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Country | US
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Telephone | 843-310-4969
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Fax | 843-213-6946
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 29898
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License Number State | SC
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