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General NPI Number Information
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NPI Number | 1003129131
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Entity Type | Individual
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Provider Name | DARGAN ELIZABETH MAYER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/18/2010
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Last Update Date | 07/18/2010
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Provider Practice Location Address
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Address Line | 818 HARDEN ST
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City | COLUMBIA
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State | SC
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Zip | 29205-1002
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Country | US
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Telephone | 803-799-0043
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Fax |
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Provider Business Mailing Address
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Address Line | 1014 E SELWOOD CT
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City | COLUMBIA
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State | SC
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Zip | 29212-8103
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Country | US
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Telephone | 803-609-0069
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 12186
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License Number State | SC
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