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General NPI Number Information
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NPI Number | 1255640975
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Entity Type | Individual
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Provider Name | EMILY MAUREEN DAVIS RPH
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Gender | Female
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Dates
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Enumeration Date | 09/29/2010
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Last Update Date | 09/29/2010
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Provider Practice Location Address
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Address Line | 5401 N MAIN ST
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City | COWPENS
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State | SC
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Zip | 29303
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Country | US
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Telephone | 864-463-4986
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Fax |
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Provider Business Mailing Address
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Address Line | 1215 LAKE RD
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City | CLOVER
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State | SC
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Zip | 29710-8407
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Country | US
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Telephone | 803-222-7431
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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 | 12828
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License Number State | SC
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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 | 10426
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License Number State | NC
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