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1881252328
TADD LANE
COLUMBIA, SC
NPI
1881252328
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 22660)
Enumeration Date
2019-05-30
Last Update Date
2022-11-03
Business Address
TADD LANE APRN
111 DOCTOR CIR
COLUMBIA, SC 29203-6502
Phone number: 800-491-0909
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Mailing Address
TADD LANE APRN
111 DOCTOR CIR
COLUMBIA, SC 29203-6502
Phone number: 800-491-0909
Copy
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