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General NPI Number Information
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NPI Number | 1780557082
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Entity Type | Individual
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Provider Name | JENNIFER HIX
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Gender | Female
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 5345 CROSSRIDGE BLVD
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City | INDIAN LAND
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State | SC
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Zip | 29707-7892
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Country | US
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Telephone | 803-650-4472
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Fax | 803-791-9149
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Provider Business Mailing Address
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Address Line | 1004 SEMINOLE DR
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City | WAXHAW
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State | NC
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Zip | 28173-6594
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Country | US
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Telephone | 415-517-0339
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH.8426
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License Number State | SC
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