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NPI 1821480195

NPI 1821480195 : ANGELA COUNCIL FNP : BISHOPVILLE, SC

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General NPI Number Information
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    NPI Number           |    1821480195
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    Entity Type          |    Individual 
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    Provider Name        |    ANGELA COUNCIL FNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/24/2015
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    545 SUMTER HWY 
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    City                 |    BISHOPVILLE
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    State                |    SC
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    Zip                  |    29010-7601
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    Country              |    US
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    Telephone            |    803-484-5317
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    Fax                  |    803-484-4533
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1090 
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    City                 |    HARTSVILLE
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    State                |    SC
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    Zip                  |    29551-1090
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    Country              |    US
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    Telephone            |    843-857-0111
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    Fax                  |    843-309-8126
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    19322
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    License Number State |    SC
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