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General NPI Number Information
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NPI Number | 1164842696
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Entity Type | Individual
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Provider Name | MRS. GRETCHEN MERTZ YANEZ
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Gender | Female
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Dates
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Enumeration Date | 04/23/2014
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 2751 BEAVER RUN BLVD
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City | SURFSIDE BEACH
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State | SC
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Zip | 29575-5385
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Country | US
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Telephone | 843-215-3856
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Fax | 843-215-3856
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Provider Business Mailing Address
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Address Line | 788 CRYSTAL WATER WAY
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City | MYRTLE BEACH
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State | SC
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Zip | 29579-4381
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Country | US
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Telephone | 843-231-2629
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Fax | 843-281-8176
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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 | 10843
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License Number State | SC
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