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General NPI Number Information
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NPI Number | 1699513838
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Entity Type | Individual
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Provider Name | NIKKI SAWYER FNP
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Gender | Female
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Dates
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Enumeration Date | 07/19/2024
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 110 GATEWAY CORPORATE BLVD
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City | COLUMBIA
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State | SC
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Zip | 29203-9685
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Country | US
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Telephone | 803-865-4514
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Fax |
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Provider Business Mailing Address
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Address Line | 114 GATEWAY CORPORATE BLVD STE 110
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City | COLUMBIA
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State | SC
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Zip | 29203-9785
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Country | US
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Telephone | 803-865-4960
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Fax | 803-865-4961
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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 | 29155
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License Number State | SC
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