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General NPI Number Information
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NPI Number | 1740349240
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Entity Type | Individual
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Provider Name | JOHN FREDERICK PAYNE M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 07/23/2020
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Provider Practice Location Address
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Address Line | 17 CALEDON COURT, SUITE C PIEDMONT REPRODUCTIVE ENDOCRINOLOGY GROUP (PREG)
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City | GREENVILLE
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State | SC
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Zip | 29615-3170
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Country | US
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Telephone | 864-232-7734
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Fax | 864-232-7099
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Provider Business Mailing Address
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Address Line | 17 CALEDON COURT, SUITE C PIEDMONT REPRODUCTIVE ENDOCRINOLOGY GROUP (PREG)
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City | GREENVILLE
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State | SC
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Zip | 29615-3170
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Country | US
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Telephone | 864-232-7734
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Fax | 864-232-7099
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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 | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 94-00609 CER#56616
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 29794
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License Number State | SC
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