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General NPI Number Information
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NPI Number | 1104830611
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Entity Type | Organization
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Legal Business Name | BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICE,INC
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1320 RIBAUT RD
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City | PORT ROYAL
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State | SC
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Zip | 29935-1118
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Country | US
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Telephone | 843-322-1833
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Fax |
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Provider Business Mailing Address
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Address Line | 1320 RIBAUT RD
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City | PORT ROYAL
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State | SC
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Zip | 29935-1118
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Country | US
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Telephone | 843-322-1833
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Fax |
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | DR. CHIH-PING TUCKER
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Credential |
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Telephone | 843-322-1833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0904X
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Taxonomy Name | Federal Public Health Clinic/Center
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License Number | 011049
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License Number State | SC
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