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General NPI Number Information
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NPI Number | 1528493798
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Entity Type | Individual
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Provider Name | MICHELE CELESTINE HROMYAK
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Gender | Female
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Dates
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Enumeration Date | 09/06/2013
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Last Update Date | 09/06/2013
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Provider Practice Location Address
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Address Line | 1054 BRENTFORD PL
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City | MYRTLE BEACH
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State | SC
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Zip | 29579-6607
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Country | US
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Telephone | 843-236-2607
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Fax |
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Provider Business Mailing Address
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Address Line | 1054 BRENTFORD PL
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City | MYRTLE BEACH
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State | SC
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Zip | 29579-6607
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Country | US
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Telephone | 843-236-2607
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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 | 13888
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP041385L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 22325
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License Number State | NC
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