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General NPI Number Information
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NPI Number | 1871238048
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Entity Type | Individual
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Provider Name | STEPHANIE BARNWELL LPN
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Gender | Female
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Dates
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Enumeration Date | 05/03/2022
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Last Update Date | 05/03/2022
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Provider Practice Location Address
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Address Line | 48 BULL CORNER RD
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City | YEMASSEE
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State | SC
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Zip | 29945-7900
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Country | US
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Telephone | 843-473-0296
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 816
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City | LOBECO
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State | SC
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Zip | 29931-0816
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Country | US
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Telephone |
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | P39520
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License Number State | SC
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