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General NPI Number Information
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NPI Number | 1144640277
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Entity Type | Organization
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Legal Business Name | MAYME DEWEY
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Dates
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Enumeration Date | 04/16/2014
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Last Update Date | 04/16/2014
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Provider Practice Location Address
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Address Line | 2709 CHURCH ST STE A
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City | CONWAY
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State | SC
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Zip | 29526-4440
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Country | US
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Telephone | 843-365-0301
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Fax |
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Provider Business Mailing Address
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Address Line | 63 SUMMERLIGHT DR
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City | MURRELLS INLET
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State | SC
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Zip | 29576-7229
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Country | US
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Telephone | 843-504-5216
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | MAYME VIRGINIA DEWEY
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Credential |
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Telephone | 843-504-5216
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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 | 12359
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License Number State | SC
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