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General NPI Number Information
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NPI Number | 1578049607
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Entity Type | Individual
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Provider Name | JOSHUA LEE STAMPS PHARMD
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Gender | Male
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Dates
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Enumeration Date | 07/11/2018
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Last Update Date | 07/11/2018
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Provider Practice Location Address
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Address Line | 618 FAIRVIEW RD
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City | SIMPSONVILLE
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State | SC
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Zip | 29680-6707
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Country | US
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Telephone | 864-962-1839
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Fax |
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Provider Business Mailing Address
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Address Line | 1009 WHIRLAWAY CIR
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City | ANDERSON
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State | SC
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Zip | 29621-2589
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Country | US
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Telephone | 864-940-8689
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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 | 37705
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License Number State | SC
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