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NPI 1093159428

NPI 1093159428 : ALL ABOUT YOUR HEALTH INC : ANDERSON, SC

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General NPI Number Information
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    NPI Number           |    1093159428
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALL ABOUT YOUR HEALTH INC 
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Dates
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    Enumeration Date     |    04/29/2013
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    Last Update Date     |    04/17/2015
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Provider Practice Location Address
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    Address Line         |    1704 E GREENVILLE ST STE 1D 
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    City                 |    ANDERSON
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    State                |    SC
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    Zip                  |    29621-7914
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    Country              |    US
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    Telephone            |    864-332-8992
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    Fax                  |    864-332-8993
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Provider Business Mailing Address
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    Address Line         |    1704 E GREENVILLE ST STE 1D 
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    City                 |    ANDERSON
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    State                |    SC
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    Zip                  |    29621-7914
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    Country              |    US
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    Telephone            |    864-332-8992
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    Fax                  |    864-332-8993
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MEL  BERGER 
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    Credential           |    
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    Telephone            |    864-332-8892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    3336C0004X
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    Taxonomy Name        |    Compounding Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    3336M0003X
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    Taxonomy Name        |    Managed Care Organization Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    14563
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    License Number State |    SC
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