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General NPI Number Information
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NPI Number | 1558937102
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Entity Type | Organization
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Legal Business Name | DOTSON HOLDINGS LLC
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Dates
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Enumeration Date | 06/02/2021
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Last Update Date | 06/02/2021
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Provider Practice Location Address
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Address Line | 16 WILLIAM POPE DR STE 201
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City | BLUFFTON
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State | SC
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Zip | 29909-7504
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Country | US
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Telephone | 502-209-9351
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Fax |
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Provider Business Mailing Address
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Address Line | 43 WEXFORD CLUB DR
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29928-6159
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Country | US
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Telephone | 606-255-3154
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JACOB DOTSON
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Credential |
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Telephone | 606-255-3154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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