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General NPI Number Information
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NPI Number | 1568270502
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Entity Type | Individual
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Provider Name | MRS. LACIE HILL LAWHON
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Gender | Female
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Dates
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Enumeration Date | 12/23/2024
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 1341 N CASHUA DR
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City | FLORENCE
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State | SC
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Zip | 29501-6939
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Country | US
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Telephone | 843-799-7237
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Fax |
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Provider Business Mailing Address
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Address Line | 1541 LEE STATE PARK RD
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City | LAMAR
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State | SC
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Zip | 29069-9297
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Country | US
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Telephone | 843-610-3103
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 61482
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License Number State | SC
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