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General NPI Number Information
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NPI Number | 1750037156
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Entity Type | Individual
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Provider Name | HANNAH GERSBACH BRABHAM FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/23/2022
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 4278 LADSON RD
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City | LADSON
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State | SC
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Zip | 29456-5452
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Country | US
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Telephone | 843-203-2240
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Fax | 843-203-2241
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Provider Business Mailing Address
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Address Line | PO BOX 751649
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City | CHARLOTTE
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State | NC
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Zip | 28275-1649
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Country | US
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Telephone | 888-472-0043
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Fax | 843-724-2440
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26550
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License Number State | SC
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