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General NPI Number Information
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NPI Number | 1871835637
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Entity Type | Individual
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Provider Name | JACQUELINE PAGE CHRISTMAN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/20/2013
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Last Update Date | 07/11/2022
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Provider Practice Location Address
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Address Line | 1278 N. LAFAYETTE DR.
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City | SUMTER
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State | SC
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Zip | 29150-2664
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Country | US
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Telephone | 803-774-4500
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Fax | 803-774-4525
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Provider Business Mailing Address
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Address Line | 550 SOUTH PIKE WEST
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City | SUMTER
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State | SC
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Zip | 29150-2664
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Country | US
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Telephone | 803-774-4936
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Fax | 803-774-4936
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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 | 18118
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License Number State | SC
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