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General NPI Number Information
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NPI Number | 1366575334
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Entity Type | Individual
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Provider Name | MICHAEL MAGAHA RPH
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Gender | Male
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 06/04/2018
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Provider Practice Location Address
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Address Line | 1409 N MAIN ST
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City | ANDERSON
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State | SC
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Zip | 29621
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Country | US
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Telephone | 864-224-3581
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Fax | 864-231-6240
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Provider Business Mailing Address
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Address Line | 1409 N MAIN ST
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City | ANDERSON
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State | SC
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Zip | 29621-4732
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Country | US
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Telephone | 864-224-3581
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Fax | 864-231-6240
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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 | 50001843
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License Number State | SC
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