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General NPI Number Information
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NPI Number | 1104970474
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Entity Type | Organization
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Legal Business Name | MCLESKEY-TODD
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 12 23RD ST
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City | GREER
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State | SC
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Zip | 29651-3848
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Country | US
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Telephone | 864-877-0847
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Fax |
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Provider Business Mailing Address
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Address Line | 12 23RD ST
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City | GREER
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State | SC
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Zip | 29651-3848
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PIC
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Name | JOHN ALLEN
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Credential |
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Telephone | 864-877-0753
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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 | 12210
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License Number State | SC
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