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General NPI Number Information
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NPI Number | 1417954843
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Entity Type | Individual
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Provider Name | FREDERICK ANDOY TALIP M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 11/11/2020
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Provider Practice Location Address
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Address Line | 146 E. HOSPITAL DR. SUITE 550
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City | WEST COLUMBIA
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State | SC
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Zip | 29036
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Country | US
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Telephone | 803-936-7410
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Fax | 803-936-7412
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Provider Business Mailing Address
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Address Line | PO BOX 6069
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City | WEST COLUMBIA
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State | SC
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Zip | 29171-6069
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 200400760
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License Number State | NC
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