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General NPI Number Information
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NPI Number | 1356648323
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Entity Type | Individual
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Provider Name | EDWARD HAMMOND REYNOLDS JR. B.S.
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Gender | Male
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Dates
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Enumeration Date | 02/27/2011
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Last Update Date | 02/27/2011
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Provider Practice Location Address
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Address Line | 1232 W WADE HAMPTON BLVD
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City | GREER
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State | SC
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Zip | 29650-1243
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Country | US
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Telephone | 864-801-2337
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Fax |
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Provider Business Mailing Address
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Address Line | 105 SUMMIT DR
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City | GREER
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State | SC
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Zip | 29651-1458
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Country | US
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Telephone | 864-877-2359
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Fax | 864-877-2359
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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 | 3527
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License Number State | SC
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