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General NPI Number Information
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NPI Number | 1659297133
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Entity Type | Organization
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Legal Business Name | ENSIGHT HEALTH LLC
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 622 COYOTE LN
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City | BLYTHEWOOD
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State | SC
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Zip | 29016-9258
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Country | US
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Telephone | 843-845-2596
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Fax |
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Provider Business Mailing Address
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Address Line | 622 COYOTE LN
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City | BLYTHEWOOD
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State | SC
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Zip | 29016-9258
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Country | US
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Telephone | 803-845-2596
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SUBRATA YORELL ALFORD
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Credential | NP
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Telephone | 843-845-2596
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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 |
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License Number State |
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