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General NPI Number Information
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NPI Number | 1386284198
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Entity Type | Individual
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Provider Name | IRENE NKIE NKENG
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Gender | Female
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Dates
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Enumeration Date | 01/09/2020
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Last Update Date | 01/09/2020
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Provider Practice Location Address
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Address Line | 2000 SAM RITTENBERG BLVD
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City | CHARLESTON
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State | SC
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Zip | 29407-4629
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Country | US
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Telephone | 843-818-4638
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Fax | 843-952-7157
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Provider Business Mailing Address
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Address Line | 2040 ASHLEY RIVER RD APT 409
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City | CHARLESTON
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State | SC
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Zip | 29407-8010
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Country | US
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Telephone |
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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 | 42328
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License Number State | SC
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