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General NPI Number Information
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NPI Number | 1659040806
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Entity Type | Individual
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Provider Name | CATHERINE KUSHNER WELLS FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/10/2021
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 200 N HIGHWAY 25
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City | TRAVELERS REST
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State | SC
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Zip | 29690-2300
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Country | US
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Telephone | 864-288-8280
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Fax |
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Provider Business Mailing Address
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Address Line | 200 N HIGHWAY 25
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City | TRAVELERS REST
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State | SC
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Zip | 29690-2300
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Country | US
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Telephone | 864-288-8280
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | GAA-NP004126
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License Number State | GA
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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 | APN.25297
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5023014
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License Number State | NC
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