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General NPI Number Information
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NPI Number | 1609783257
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Entity Type | Individual
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Provider Name | SEDERIS FOGLE RPH
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Gender | Female
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 111 CORPORATE DR STE L
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City | SPARTANBURG
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State | SC
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Zip | 29303-5040
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Country | US
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Telephone | 888-346-4158
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Fax | 800-369-6512
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Provider Business Mailing Address
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Address Line | 111 CORPORATE DR STE L
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City | SPARTANBURG
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State | SC
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Zip | 29303-5040
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Country | US
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Telephone | 888-346-4158
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Fax | 800-369-6512
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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 | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | 8484
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License Number State | SC
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