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General NPI Number Information
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NPI Number | 1598013112
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Entity Type | Individual
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Provider Name | BRENDA B MCCALL B.S.
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Gender | Female
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Dates
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Enumeration Date | 08/29/2012
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Last Update Date | 08/29/2012
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Provider Practice Location Address
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Address Line | 7 FARRS BRIDGE RD
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City | GREENVILLE
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State | SC
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Zip | 29617-1901
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Country | US
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Telephone | 864-246-1528
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Fax | 864-246-7712
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Provider Business Mailing Address
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Address Line | 280 OLD FARRS BRIDGE RD
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City | GREENVILLE
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State | SC
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Zip | 29611-6622
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Country | US
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Telephone | 864-905-4448
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Fax | 864-246-7712
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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 | 5181
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License Number State | SC
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