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General NPI Number Information
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NPI Number | 1184106189
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Entity Type | Individual
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Provider Name | LISA JOYCE PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 09/05/2018
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Last Update Date | 09/05/2018
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Provider Practice Location Address
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Address Line | 3715 E NORTH ST
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City | GREENVILLE
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State | SC
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Zip | 29615-2302
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Country | US
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Telephone | 864-244-9442
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Fax |
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Provider Business Mailing Address
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Address Line | 330 RILMAN WAY
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City | SIMPSONVILLE
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State | SC
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Zip | 29680-6457
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Country | US
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Telephone | 864-395-9660
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Fax |
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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 | 25489
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202215998
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH100003071
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 37884
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License Number State | SC
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