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General NPI Number Information
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NPI Number | 1649533316
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Entity Type | Individual
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Provider Name | NANCY KATE DURHAM MSN, APRN, EFNP, CDE
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Gender | Female
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Dates
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Enumeration Date | 06/19/2012
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Last Update Date | 11/03/2015
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Provider Practice Location Address
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Address Line | 800 PELHAM ROAD
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City | GREENVILLE
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State | SC
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Zip | 29615-3300
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Country | US
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Telephone | 864-234-5800
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Fax | 864-234-5888
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Provider Business Mailing Address
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Address Line | 800 PELLHAM ROAD
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City | GREENVILLE
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State | SC
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Zip | 29615-3300
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Country | US
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Telephone | 864-234-5800
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Fax | 864-234-5888
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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 | 1744R1102X
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Taxonomy Name | Research Study Specialist
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F1307
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License Number State | SC
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