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General NPI Number Information
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NPI Number | 1326299819
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Entity Type | Individual
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Provider Name | JENNIFER DAVENPORT PHILLIPS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/02/2008
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 240 CHURCH ST
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City | SUMTER
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State | SC
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Zip | 29150-4256
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Country | US
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Telephone | 803-778-5005
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Fax | 803-774-5004
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Provider Business Mailing Address
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Address Line | 240 CHURCH ST
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City | SUMTER
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State | SC
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Zip | 29150-4256
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Country | US
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Telephone | 803-778-5005
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Fax | 803-774-5004
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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 | 16346
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License Number State | NC
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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 | 0202205972
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 12818
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License Number State | SC
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