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General NPI Number Information
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NPI Number | 1720831324
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Entity Type | Individual
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Provider Name | CHRISTOPHER HYMAN
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Gender | Male
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Dates
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Enumeration Date | 04/11/2024
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Last Update Date | 04/11/2024
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Provider Practice Location Address
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Address Line | 14 WRCF ST
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City | KINGSTREE
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State | SC
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Zip | 29556-2596
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Country | US
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Telephone | 843-618-1346
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Fax | 843-355-9714
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Provider Business Mailing Address
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Address Line | 2122 N OLD RIVER RD
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City | PAMPLICO
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State | SC
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Zip | 29583-6014
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Country | US
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Telephone | 843-618-1346
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 2292
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 310500000X
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Taxonomy Name | Mental Illness Intermediate Care Facility
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License Number | 2292
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License Number State | SC
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