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General NPI Number Information
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NPI Number | 1477614451
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Entity Type | Individual
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Provider Name | DONALD EDWARD DELAND CPHT
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Gender | Male
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 171 ASHLEY AVE
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City | CHARLESTON
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State | SC
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Zip | 29425-0001
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Country | US
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Telephone | 843-792-5952
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Fax | 843-792-5582
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Provider Business Mailing Address
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Address Line | 136 THOUSAND OAKS CIR
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City | GOOSE CREEK
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State | SC
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Zip | 29445-7263
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Country | US
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Telephone | 843-863-8683
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Fax | 843-792-5582
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 14421
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License Number State | SC
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