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General NPI Number Information
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NPI Number | 1043327190
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Entity Type | Individual
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Provider Name | LLOYD MCCRARY KAPP JR. M.D., F.A.A.P.
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Gender | Male
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 04/28/2013
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Provider Practice Location Address
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Address Line | 16 WOODCROSS DR
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City | COLUMBIA
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State | SC
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Zip | 29212-2331
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Country | US
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Telephone | 803-732-0140
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Fax | 803-732-4848
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Provider Business Mailing Address
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Address Line | 601 CLEMSON RD
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City | COLUMBIA
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State | SC
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Zip | 29229-4341
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Country | US
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Telephone | 803-788-6146
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Fax | 803-462-0312
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 21845
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License Number State | SC
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