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General NPI Number Information
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NPI Number | 1164706198
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Entity Type | Individual
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Provider Name | CAROLE ANN C HOLT RPH
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Gender | Female
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Dates
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Enumeration Date | 10/10/2011
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Last Update Date | 10/10/2011
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Provider Practice Location Address
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Address Line | 611 HIGHWAY 301 N RITE AID
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City | DILLON
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State | SC
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Zip | 29536-2446
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Country | US
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Telephone | 843-774-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 1520 AMERICAN DR
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City | FLORENCE
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State | SC
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Zip | 29505-6076
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Country | US
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Telephone | 843-629-8760
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Fax | 843-629-2696
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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 | 6746
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License Number State | SC
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