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General NPI Number Information
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NPI Number | 1629806799
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Entity Type | Organization
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Legal Business Name | MJW CORPORATION
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Dates
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Enumeration Date | 07/22/2024
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 110 PRICE AVE
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City | AIKEN
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State | SC
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Zip | 29803-7395
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Country | US
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Telephone | 803-648-1776
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Fax | 803-649-9494
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Provider Business Mailing Address
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Address Line | 110 PRICE AVE
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City | AIKEN
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State | SC
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Zip | 29803-7395
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Country | US
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Telephone | 803-648-1776
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Fax | 803-649-9494
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Authorized Official
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Title or Position | PIC/OWNER
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Name | BRANDI NICOLE JOHNSON
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Credential | PHARM D
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Telephone | 803-648-1776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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