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General NPI Number Information
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NPI Number | 1275925091
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Entity Type | Individual
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Provider Name | JOE BRICE WILLIAMSON JR. RPH
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Gender | Male
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Dates
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Enumeration Date | 03/03/2015
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Last Update Date | 03/03/2015
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Provider Practice Location Address
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Address Line | 501 E. CHEVES ST. SUITE D
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City | FLORENCE
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State | SC
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Zip | 29506
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Country | US
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Telephone | 843-777-2166
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Fax |
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Provider Business Mailing Address
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Address Line | 109 N 2ND AVE
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City | LAKE CITY
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State | SC
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Zip | 29560-2259
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Country | US
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Telephone | 843-394-0298
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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 | 006849
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License Number State | SC
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