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General NPI Number Information
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NPI Number | 1215180591
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Entity Type | Organization
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Legal Business Name | SANDHILLS MEDICAL FOUNDATION INC
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Dates
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Enumeration Date | 10/30/2008
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Last Update Date | 07/12/2016
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Provider Practice Location Address
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Address Line | 425 N SALEM AVE
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City | SUMTER
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State | SC
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Zip | 29150-4115
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Country | US
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Telephone | 803-773-8148
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Fax | 803-775-5849
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Provider Business Mailing Address
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Address Line | 425 N SALEM AVE
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City | SUMTER
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State | SC
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Zip | 29150-4115
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Country | US
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Telephone | 803-773-8148
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Fax | 803-775-5849
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | ALYSSA NORWOOD
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Credential | PHARMD
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Telephone | 803-438-5537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 10149
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License Number State | SC
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