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General NPI Number Information
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NPI Number | 1942834676
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Entity Type | Individual
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Provider Name | SHA ROBINSON HAYNES REGISTERED NURSE
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Gender | Female
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Dates
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Enumeration Date | 03/03/2020
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Last Update Date | 03/03/2020
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Provider Practice Location Address
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Address Line | 120 KATRINA CT
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City | LEXINGTON
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State | SC
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Zip | 29073-6924
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Country | US
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Telephone | 803-605-2666
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Fax | 803-356-5675
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Provider Business Mailing Address
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Address Line | 120 KATRINA CT
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City | LEXINGTON
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State | SC
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Zip | 29073-6924
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Country | US
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Telephone | 803-605-2666
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Fax | 803-356-5675
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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 | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 251579
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License Number State | SC
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