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NPI 1336411719

NPI 1336411719 : ANNE LEE RPH : NORTH CHARLESTON, SC

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General NPI Number Information
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    NPI Number           |    1336411719
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    Entity Type          |    Individual 
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    Provider Name        |    ANNE LEE RPH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/01/2012
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    Last Update Date     |    02/01/2012
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Provider Practice Location Address
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    Address Line         |    2777 SPEISSEGGER DR 
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    City                 |    NORTH CHARLESTON
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    State                |    SC
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    Zip                  |    29405-8229
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    Country              |    US
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    Telephone            |    843-745-5183
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    Fax                  |    843-745-5132
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Provider Business Mailing Address
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    Address Line         |    2650 DANIELS POINTE BLVD 
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    City                 |    MOUNT PLEASANT
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    State                |    SC
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    Zip                  |    29466-6734
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    Country              |    US
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    Telephone            |    843-442-0131
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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       |    8284
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    License Number State |    SC
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