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General NPI Number Information
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NPI Number | 1023366184
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Entity Type | Individual
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Provider Name | DONALD JOSEPH PULLEY JR. RPH
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Gender | Male
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Dates
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Enumeration Date | 08/21/2012
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Last Update Date | 08/21/2012
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Provider Practice Location Address
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Address Line | 3518 HIGHWAY 153
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City | GREENVILLE
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State | SC
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Zip | 29611-7553
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Country | US
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Telephone | 864-220-1380
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Fax |
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Provider Business Mailing Address
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Address Line | 302 WINDING RIVER LN
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-6526
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Country | US
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Telephone | 864-329-0090
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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 | 11147
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP036113L
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License Number State | PA
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