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General NPI Number Information
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NPI Number | 1649577784
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Entity Type | Individual
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Provider Name | BRIAN MICHAEL KEIMACH R.PH.
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Gender | Male
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Dates
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Enumeration Date | 02/25/2011
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Last Update Date | 08/10/2025
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Provider Practice Location Address
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Address Line | 1251 DUTCH FORK RD
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City | IRMO
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State | SC
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Zip | 29063-8787
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Country | US
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Telephone | 803-749-7099
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Fax |
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Provider Business Mailing Address
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Address Line | 2435 OLD LEXINGTON HWY
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City | CHAPIN
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State | SC
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Zip | 29036-7917
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Country | US
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Telephone | 803-466-6714
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Fax | 847-368-6588
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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 | PS67196
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License Number State | FL
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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 | 25594
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH23654
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051-293153
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 12378
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License Number State | SC
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