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General NPI Number Information
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NPI Number | 1942023015
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Entity Type | Individual
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Provider Name | LENA MARGARET TINDALL APRN
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Gender | Female
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Dates
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Enumeration Date | 11/06/2024
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 2734 BEAVER RUN BLVD UNIT D
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City | MYRTLE BEACH
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State | SC
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Zip | 29575-5392
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Country | US
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Telephone | 843-650-1085
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Fax |
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Provider Business Mailing Address
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Address Line | 555 E CHEVES ST
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City | FLORENCE
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State | SC
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Zip | 29506-2617
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Country | US
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Telephone | 843-777-2000
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Fax | 843-777-5465
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 322214
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 267999
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License Number State | SC
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