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NPI 1609008473

NPI 1609008473 : GEORGE ZECOPOULOS R.PH. : CHARLESTON, SC

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General NPI Number Information
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    NPI Number           |    1609008473
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    Entity Type          |    Individual 
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    Provider Name        |    GEORGE ZECOPOULOS R.PH.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/12/2009
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    Last Update Date     |    08/12/2009
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Provider Practice Location Address
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    Address Line         |    1535 SAVANNAH HWY 
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    City                 |    CHARLESTON
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    State                |    SC
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    Zip                  |    29407-7820
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    Country              |    US
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    Telephone            |    843-766-2371
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    Fax                  |    843-763-2335
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Provider Business Mailing Address
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    Address Line         |    1535 SAVANNAH HWY 
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    City                 |    CHARLESTON
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    State                |    SC
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    Zip                  |    29407-7820
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    Country              |    US
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    Telephone            |    843-766-2371
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    Fax                  |    843-763-2335
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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       |    6602
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    License Number State |    SC
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