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General NPI Number Information
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NPI Number | 1558612564
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Entity Type | Individual
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Provider Name | BEVIN WHITMAN METTS
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Gender | Female
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Dates
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Enumeration Date | 10/01/2012
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Last Update Date | 05/12/2020
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Provider Practice Location Address
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Address Line | 4079 AUGUSTA HWY STE A
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City | GILBERT
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State | SC
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Zip | 29054-8322
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Country | US
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Telephone | 803-756-4175
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Fax | 803-756-4178
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Provider Business Mailing Address
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Address Line | 454 BERRYHILL RD
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City | COLUMBIA
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State | SC
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Zip | 29210-6447
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Country | US
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Telephone |
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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 | 9708
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License Number State | SC
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