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General NPI Number Information
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NPI Number | 1437441441
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Entity Type | Individual
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Provider Name | MRS. CHINEZE CATHERINE MADUIKE
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Gender | Female
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Dates
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Enumeration Date | 05/10/2011
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Last Update Date | 05/10/2011
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Provider Practice Location Address
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Address Line | 515 S HAMPTON ST
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City | KERSHAW
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State | SC
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Zip | 29067-1834
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Country | US
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Telephone | 803-475-7370
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Fax |
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Provider Business Mailing Address
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Address Line | 615 E CHEVAL DR
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City | FORT MILL
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State | SC
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Zip | 29708-6956
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Country | US
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Telephone | 803-415-2895
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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 | 13187
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License Number State | SC
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