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NPI 1821290818

NPI 1821290818 : MARGUERITE LOVETT KNOX NURSE PRACTITIONER : EASTOVER, SC

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General NPI Number Information
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    NPI Number           |    1821290818
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    Entity Type          |    Individual 
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    Provider Name        |    MARGUERITE LOVETT KNOX NURSE PRACTITIONER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/03/2007
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    Last Update Date     |    08/17/2011
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Provider Practice Location Address
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    Address Line         |    1325 S CAROLINA RD STE 29 
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    City                 |    EASTOVER
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    State                |    SC
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    Zip                  |    29044-5000
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    Country              |    US
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    Telephone            |    803-806-2071
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    Fax                  |    803-806-2072
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Provider Business Mailing Address
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    Address Line         |    130 SWEETWATER DR 
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    City                 |    HOPKINS
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    State                |    SC
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    Zip                  |    29061-9209
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    Country              |    US
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    Telephone            |    803-776-7916
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    Fax                  |    803-647-9513
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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        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    2424
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    License Number State |    SC
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Taxonomy #2
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    Taxonomy Code        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    2424
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    License Number State |    SC
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