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General NPI Number Information
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NPI Number | 1568593416
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Entity Type | Organization
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Legal Business Name | ANDERSON BARIATRIC PHYSICIANS PHARMACY
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 2106 N MAIN ST
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City | ANDERSON
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State | SC
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Zip | 29621-3871
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Country | US
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Telephone | 864-225-6280
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Fax | 864-225-6887
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Provider Business Mailing Address
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Address Line | 2106 N MAIN ST
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City | ANDERSON
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State | SC
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Zip | 29621-3871
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Country | US
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Telephone | 864-225-6280
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Fax | 864-225-6887
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Authorized Official
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Title or Position | PHARMACIST
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Name | FRED S. WINSTEAD JR.
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Credential | RPH.
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Telephone | 864-225-6280
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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 | 50004699
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License Number State | SC
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