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General NPI Number Information
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NPI Number | 1316364078
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Entity Type | Individual
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Provider Name | THOMAS W AYERS R.PH
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Gender | Male
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Dates
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Enumeration Date | 03/19/2014
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Last Update Date | 03/19/2014
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Provider Practice Location Address
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Address Line | 1210 HIGHWAY 301 N
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City | DILLON
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State | SC
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Zip | 29536-2455
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Country | US
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Telephone | 843-774-2707
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Fax | 843-774-7172
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Provider Business Mailing Address
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Address Line | 1612 SOUTHWOOD CT
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City | FLORENCE
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State | SC
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Zip | 29505-3195
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Country | US
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Telephone | 843-229-0184
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Fax | 843-774-7172
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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 | 9717
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License Number State | SC
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