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General NPI Number Information
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NPI Number | 1295032423
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Entity Type | Individual
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Provider Name | OLABISI C OBINWANNE PHARM D
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Gender | Female
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Dates
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Enumeration Date | 02/24/2011
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Last Update Date | 02/24/2011
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Provider Practice Location Address
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Address Line | 2410 REIDVILLE RD
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City | SPARTANBURG
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State | SC
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Zip | 29301-3652
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Country | US
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Telephone | 864-587-9486
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Fax | 864-587-9504
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Provider Business Mailing Address
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Address Line | 151 FERNWOOD DR APT 161F
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City | SPARTANBURG
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State | SC
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Zip | 29307-2249
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Country | US
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Telephone | 612-702-9071
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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 | 12448
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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 | 119017
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License Number State | MN
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