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General NPI Number Information
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NPI Number | 1851539696
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Entity Type | Individual
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Provider Name | KAREN CLARKE WIGGINS RN
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Gender | Female
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Dates
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Enumeration Date | 02/02/2009
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Last Update Date | 02/02/2009
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Provider Practice Location Address
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Address Line | 2435 FOREST DRIVE PROVIDENCE HOSPITAL
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City | COLUMBIA
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State | SC
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Zip | 29204
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Country | US
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Telephone | 803-256-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 109 EDGERTON LN
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City | LEXINGTON
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State | SC
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Zip | 29072-8340
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Country | US
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Telephone | 803-957-2199
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 101072
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License Number State | SC
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