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General NPI Number Information
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NPI Number | 1144650086
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Entity Type | Individual
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Provider Name | VERA MEGAN PURYEAR RD
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Gender | Female
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Dates
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Enumeration Date | 11/13/2013
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Last Update Date | 02/22/2021
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Provider Practice Location Address
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Address Line | 9 RICHLAND MEDICAL PARK SUITE 230
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City | COLUMBIA
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State | SC
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Zip | 29203-6859
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Country | US
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Telephone | 803-434-7990
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Fax | 803-434-4669
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Provider Business Mailing Address
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Address Line | 9 RICHLAND MEDICAL PARK SUITE 200A
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City | COLUMBIA
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State | SC
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Zip | 29203-6859
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Country | US
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Telephone | 803-434-7956
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Fax | 803-434-8606
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 1015557
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 778
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License Number State | SC
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