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NPI 1447513494

NPI 1447513494 : WILLIAM E. HILLMAN JR. R.PH. : GASTON, SC

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General NPI Number Information
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    NPI Number           |    1447513494
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    Entity Type          |    Individual 
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    Provider Name        |    WILLIAM E. HILLMAN JR. R.PH.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/23/2012
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    Last Update Date     |    06/23/2012
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Provider Practice Location Address
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    Address Line         |    106 JIMMY MARTIN CIR 
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    City                 |    GASTON
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    State                |    SC
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    Zip                  |    29053-9242
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    Country              |    US
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    Telephone            |    803-794-5233
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    Fax                  |    803-794-5543
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Provider Business Mailing Address
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    Address Line         |    1247 ROSE LN 
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    City                 |    NEWBERRY
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    State                |    SC
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    Zip                  |    29108-4131
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    Country              |    US
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    Telephone            |    803-276-4150
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    Fax                  |    803-276-4150
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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       |    5466
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    License Number State |    SC
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