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General NPI Number Information
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NPI Number | 1316283047
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Entity Type | Individual
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Provider Name | YALANDER MOORE GAMBLE RPH
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Gender | Female
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Dates
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Enumeration Date | 12/28/2012
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Last Update Date | 02/17/2021
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Provider Practice Location Address
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Address Line | 835 SPARKLEBERRY LANE
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City | COLUMBIA
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State | SC
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Zip | 29229-2922
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Country | US
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Telephone | 803-567-3107
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Fax |
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Provider Business Mailing Address
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Address Line | 10128 TWO NOTCH RD
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City | COLUMBIA
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State | SC
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Zip | 29223-4384
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Country | US
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Telephone | 803-788-1655
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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 | 9416
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License Number State | SC
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