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General NPI Number Information
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NPI Number | 1548308695
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Entity Type | Individual
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Provider Name | ALVIN W. PICKERING C.P.,R.O.F.
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Gender | Male
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 230 ELLIOTT ST
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City | ORANGEBURG
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State | SC
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Zip | 29115-6022
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Country | US
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Telephone | 803-534-6567
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Fax | 803-534-7280
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Provider Business Mailing Address
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Address Line | 1884 MIDDLETON ST
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City | ORANGEBURG
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State | SC
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Zip | 29115-4687
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Country | US
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Telephone | 803-387-4107
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Fax | 803-534-7280
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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 | 224P00000X
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Taxonomy Name | Prosthetist
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License Number | CP1596
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 225000000X
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Taxonomy Name | Orthotic Fitter
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License Number | RFO01196
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License Number State | SC
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