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General NPI Number Information
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NPI Number | 1710343199
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Entity Type | Individual
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Provider Name | SANDRA ANN FARNUM NP
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Gender | Female
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Dates
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Enumeration Date | 01/14/2016
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 2369 CYPRESS CIR
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City | CONWAY
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State | SC
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Zip | 29526-8921
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Country | US
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Telephone | 843-347-3900
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Fax | 843-347-3930
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Provider Business Mailing Address
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Address Line | 300 SINGLETON RIDGE RD
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City | CONWAY
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State | SC
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Zip | 29526-9142
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Country | US
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Telephone |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 26793
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License Number State | SC
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