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General NPI Number Information
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NPI Number | 1104556216
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Entity Type | Individual
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Provider Name | ANNA ELAINE BROWDER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/13/2022
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Last Update Date | 06/13/2022
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Provider Practice Location Address
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Address Line | 702 MAIN ST
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City | WEST COLUMBIA
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State | SC
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Zip | 29170-4020
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Country | US
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Telephone | 803-955-2302
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Fax | 803-955-2343
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Provider Business Mailing Address
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Address Line | 5290 FISH HATCHERY RD
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City | HEATH SPRINGS
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State | SC
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Zip | 29058-8514
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Country | US
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Telephone | 803-707-3561
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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 | 43442
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License Number State | SC
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