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General NPI Number Information
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NPI Number | 1558736876
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Entity Type | Individual
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Provider Name | RYAN MCDUFFIE PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/11/2015
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Last Update Date | 12/11/2015
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Provider Practice Location Address
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Address Line | 501 W RAILROAD AVE
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City | BATESBURG
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State | SC
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Zip | 29006-1732
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Country | US
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Telephone | 803-532-6581
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Fax | 803-532-0109
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Provider Business Mailing Address
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Address Line | 501 W RAILROAD AVE
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City | BATESBURG
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State | SC
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Zip | 29006-1732
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Country | US
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Telephone | 803-532-6581
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Fax | 803-532-0109
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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 | 35544
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License Number State | SC
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