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General NPI Number Information
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NPI Number | 1669689345
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Entity Type | Individual
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Provider Name | CATHERINE B PEEBLES RPH
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Gender | Female
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1426 MAIN ST
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City | COLUMBIA
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State | SC
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Zip | 29201-5804
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Country | US
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Telephone | 803-217-9712
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Fax | 803-217-9717
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Provider Business Mailing Address
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Address Line | 4525 WINTHROP AVE
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City | COLUMBIA
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State | SC
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Zip | 29206-3029
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Country | US
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Telephone | 803-217-9712
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Fax | 803-217-9717
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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 | 009015
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License Number State | SC
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