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General NPI Number Information
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NPI Number | 1912869850
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Entity Type | Organization
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Legal Business Name | PROSPEROUS SISTAS LLC
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 510 ALEXANDER CIR
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City | WINNSBORO
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State | SC
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Zip | 29180-1349
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Country | US
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Telephone | 803-402-7788
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Fax |
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Provider Business Mailing Address
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Address Line | 510 ALEXANDER CIR
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City | WINNSBORO
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State | SC
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Zip | 29180-1349
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Country | US
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Telephone | 803-402-7788
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Fax |
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Authorized Official
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Title or Position | OWNER/FOUNDER
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Name | TYKIRIA ALEXANDER
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Credential | NREMT
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Telephone | 803-402-7788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number |
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License Number State |
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