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General NPI Number Information
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NPI Number | 1881175487
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Entity Type | Individual
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Provider Name | DEMONICA ROBINSON DUNIFER FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/22/2018
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Last Update Date | 03/22/2022
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Provider Practice Location Address
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Address Line | 220 N MAIN ST STE 500
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City | GREENVILLE
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State | SC
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Zip | 29601-2129
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Country | US
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Telephone | 833-445-5995
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Fax |
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Provider Business Mailing Address
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Address Line | 819 ABILENE LN
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City | FORT MILL
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State | SC
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Zip | 29715-5916
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Country | US
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Telephone | 803-519-7177
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 22167
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License Number State | SC
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