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NPI 1619022175

NPI 1619022175 : QUAY HARRISON BECK RPH : GREER, SC

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General NPI Number Information
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    NPI Number           |    1619022175
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    Entity Type          |    Individual 
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    Provider Name        |    QUAY HARRISON BECK RPH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/24/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1402 HIGHWAY 101 S AREA B
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    City                 |    GREER
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    State                |    SC
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    Zip                  |    29651-6731
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    Country              |    US
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    Telephone            |    864-801-0411
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    Fax                  |    864-801-0499
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Provider Business Mailing Address
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    Address Line         |    622 PARKLAND AVE 
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    City                 |    INMAN
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    State                |    SC
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    Zip                  |    29349-6363
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    Country              |    US
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    Telephone            |    864-599-1481
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    Fax                  |    864-801-0411
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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       |    4375
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    License Number State |    SC
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Taxonomy #2
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    6726
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    License Number State |    NC
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