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General NPI Number Information
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NPI Number | 1497841027
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Entity Type | Individual
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Provider Name | DONALD WILLIAMS WIPER III MD
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 06/24/2021
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Provider Practice Location Address
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Address Line | 900 W FARIS RD
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City | GREENVILLE
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State | SC
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Zip | 29605-4255
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Country | US
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Telephone | 864-455-7070
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Fax | 864-454-4669
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Provider Business Mailing Address
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Address Line | 300 E MCBEE AVE FL 4
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City | GREENVILLE
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State | SC
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Zip | 29601-2842
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Country | US
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Telephone | 864-522-8301
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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 | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 17574
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License Number State | SC
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