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General NPI Number Information
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NPI Number | 1285066050
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Entity Type | Individual
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Provider Name | ANSON CARL OSMAN PHARM D
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Gender | Male
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Dates
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Enumeration Date | 08/05/2013
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Last Update Date | 08/05/2013
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Provider Practice Location Address
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Address Line | 100 REMBERT DENNIS BLVD
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City | MONCKS CORNER
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State | SC
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Zip | 29461
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Country | US
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Telephone | 843-761-8261
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Fax | 843-761-6265
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Provider Business Mailing Address
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Address Line | 735 COLEMAN BLVD APT.210
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City | MT PLEASANT
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State | SC
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Zip | 29464-4019
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Country | US
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Telephone | 717-503-0826
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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 | 14068
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License Number State | SC
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