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General NPI Number Information
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NPI Number | 1609285733
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Entity Type | Individual
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Provider Name | PENI DUNCAN PHARMD, MBA
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Gender | Female
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Dates
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Enumeration Date | 08/02/2014
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Last Update Date | 08/02/2014
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Provider Practice Location Address
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Address Line | 3951 W ASHLEY CIR
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City | CHARLESTON
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State | SC
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Zip | 29414-9156
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Country | US
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Telephone | 843-763-2006
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 671
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City | ISLE OF PALMS
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State | SC
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Zip | 29451-0671
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Country | US
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Telephone | 843-670-7520
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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 | 13359
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License Number State | SC
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