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General NPI Number Information
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NPI Number | 1699858837
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Entity Type | Individual
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Provider Name | LAURA MARIE GARNETT APRN FNP
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Gender | Female
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 11/03/2024
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Provider Practice Location Address
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Address Line | 1520 KNOX AVE
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City | NORTH AUGUSTA
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State | SC
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Zip | 29841-4010
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Country | US
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Telephone | 803-279-4120
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Fax | 803-279-5418
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Provider Business Mailing Address
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Address Line | PO BOX 749306
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City | ATLANTA
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State | GA
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Zip | 30374-9306
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Country | US
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Telephone | 803-279-4120
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1127
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | RN100396NP
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License Number State | GA
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