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General NPI Number Information
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NPI Number | 1750223327
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Entity Type | Organization
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Legal Business Name | EDNA C JACKSON INSTITUTE OF HEALTHCARE EDUCATION
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 968 DANTZLER ST
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City | ORANGEBURG
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State | SC
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Zip | 29115-4322
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Country | US
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Telephone | 803-809-0003
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Fax | 803-809-0004
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Provider Business Mailing Address
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Address Line | 968 DANTZLER ST
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City | ORANGEBURG
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State | SC
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Zip | 29115-4322
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Country | US
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Telephone | 803-809-0003
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Fax | 803-809-0004
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. NOVELLA Y JACKSON
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Credential |
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Telephone | 803-878-2478
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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 | NULL
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