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General NPI Number Information
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NPI Number | 1699771972
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Entity Type | Individual
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Provider Name | MELISSA S. MCCARTER APRN
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Gender | Female
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 10/31/2019
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Provider Practice Location Address
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Address Line | 529 MILLS AVE AGAPE SENIOR PRIMARY CARE, INC.
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City | GREENVILLE
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State | SC
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Zip | 29201-2818
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Country | US
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Telephone | 803-726-2350
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Fax | 803-753-9102
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Provider Business Mailing Address
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Address Line | 1624 MAIN STREET AGAPE SENIOR PRIMARY CARE, INC.
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City | COLUMBIA
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State | SC
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Zip | 29201-2818
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Country | US
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Telephone | 803-726-2350
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Fax | 803-753-9102
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1843
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License Number State | SC
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