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General NPI Number Information
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NPI Number | 1821855602
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Entity Type | Individual
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Provider Name | ERIN PRUITT DRENNON FNP - BC
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Gender | Female
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Dates
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Enumeration Date | 02/28/2024
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 208 JAMES ST
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City | ANDERSON
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State | SC
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Zip | 29625-2942
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Country | US
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Telephone | 864-314-9214
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1711
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City | ANDERSON
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State | SC
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Zip | 29622-1711
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Country | US
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Telephone | 864-314-9214
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Fax | 864-712-9198
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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 | 28447
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License Number State | SC
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