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General NPI Number Information
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NPI Number | 1336867720
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Entity Type | Individual
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Provider Name | RANDALL SHEARER PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/22/2022
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Last Update Date | 09/06/2022
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Provider Practice Location Address
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Address Line | 8650 ASHEVILLE HWY
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City | SPARTANBURG
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State | SC
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Zip | 29316-4606
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Country | US
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Telephone | 864-578-6243
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Fax |
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Provider Business Mailing Address
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Address Line | 349 MILL HOUSE LN
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City | LEXINGTON
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State | SC
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Zip | 29072-8351
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Country | US
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Telephone | 716-969-0434
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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 | 43630
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License Number State | SC
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