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General NPI Number Information
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NPI Number | 1972387116
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Entity Type | Individual
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Provider Name | JENNIFER MARIE BARNHILL LPN
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Gender | Female
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Dates
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Enumeration Date | 08/21/2023
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 111 DOCTOR CIR
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City | COLUMBIA
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State | SC
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Zip | 29203-6502
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Country | US
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Telephone | 803-296-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 5536 KATES BAY HWY
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City | CONWAY
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State | SC
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Zip | 29527-6341
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Country | US
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Telephone | 843-283-5178
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 51282
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License Number State | SC
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