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General NPI Number Information
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NPI Number | 1518694652
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Entity Type | Individual
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Provider Name | PATRICIA ANNIE FERRON PHARM D
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Gender | Female
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Dates
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Enumeration Date | 08/08/2022
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 2709 CHURCH ST STE A
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City | CONWAY
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State | SC
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Zip | 29526-4440
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Country | US
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Telephone | 843-365-0301
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Fax |
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Provider Business Mailing Address
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Address Line | 1209B MEADOW PARK LN
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City | MOUNT PLEASANT
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State | SC
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Zip | 29464-4619
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Country | US
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Telephone | 843-343-0534
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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 | 43591
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License Number State | SC
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