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General NPI Number Information
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NPI Number | 1871994327
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Entity Type | Individual
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Provider Name | JO LINDA HAMMETT
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Gender | Female
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Dates
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Enumeration Date | 09/15/2014
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Last Update Date | 04/10/2015
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Provider Practice Location Address
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Address Line | 529 MILLS AVENUE AGAPE PHYSICIANS CARE
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City | GREENVILLE
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State | SC
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Zip | 29605
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Country | US
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Telephone | 843-751-6430
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Fax | 864-751-6424
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Provider Business Mailing Address
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Address Line | 1624 MAIN STREET AGAPE SENIOR PRIMARY CARE, INC., DBA AGAPE PHYSICIANS C
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City | COLUMBIA
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State | SC
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Zip | 29201
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Country | US
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Telephone | 803-454-0365
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Fax | 803-404-6000
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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 | 19057
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License Number State | SC
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