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General NPI Number Information
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NPI Number | 1649794561
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Entity Type | Individual
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Provider Name | MALERIE PLANK DNP
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Gender | Female
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Dates
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Enumeration Date | 08/02/2017
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 5070 INTERNATIONAL BLVD STE 131
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City | N CHARLESTON
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State | SC
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Zip | 29418-6007
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Country | US
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Telephone | 843-402-2995
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Fax | 843-402-3495
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Provider Business Mailing Address
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Address Line | PO BOX 751649
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City | CHARLOTTE
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State | NC
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Zip | 28275-1649
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Country | US
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Telephone | 843-789-1620
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Fax | 843-724-2440
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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 | A123583
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License Number State | IA
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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 | 25345
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License Number State | SC
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