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General NPI Number Information
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NPI Number | 1942085915
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Entity Type | Individual
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Provider Name | LAUREN BOSTWICK MCELVEEN PHYSICIAN ASSISTANT
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Gender | Female
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Dates
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Enumeration Date | 08/29/2023
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 913 BOWMAN RD STE 104
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City | MOUNT PLEASANT
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State | SC
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Zip | 29464-3235
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Country | US
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Telephone | 843-216-7640
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Fax | 843-216-2528
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Provider Business Mailing Address
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Address Line | 913 BOWMAN RD STE 104
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City | MT PLEASANT
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State | SC
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Zip | 29464-3235
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Country | US
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Telephone | 843-216-7640
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Fax | 843-216-2528
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 1201326
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License Number State | SC
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