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General NPI Number Information
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NPI Number | 1376849471
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Entity Type | Individual
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Provider Name | JOEL CARLTON KEY PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 02/07/2011
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Last Update Date | 08/29/2011
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Provider Practice Location Address
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Address Line | 601 SPRINGCREST DR
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City | FORT MILL
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State | SC
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Zip | 29715-7314
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Country | US
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Telephone | 803-548-2851
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Fax |
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Provider Business Mailing Address
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Address Line | 536 SPRUCE HOLLOW LN
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City | LAKE WYLIE
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State | SC
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Zip | 29710-8123
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Country | US
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Telephone | 803-280-0007
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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 | 012235
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License Number State | SC
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