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General NPI Number Information
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NPI Number | 1679116453
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Entity Type | Organization
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Legal Business Name | CBTP PARTNERS LLC
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Dates
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Enumeration Date | 10/23/2019
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Last Update Date | 10/23/2019
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Provider Practice Location Address
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Address Line | 10195 HIGHWAY 221 STE 5
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City | WOODRUFF
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State | SC
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Zip | 29388-9358
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Country | US
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Telephone | 864-670-8150
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Fax | 864-670-8151
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Provider Business Mailing Address
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Address Line | 10195 HIGHWAY 221 STE 5
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City | WOODRUFF
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State | SC
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Zip | 29388-9358
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Country | US
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Telephone | 864-670-8150
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Fax | 864-670-8151
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Authorized Official
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Title or Position | CO-OWNER/PHARMACIST
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Name | MR. CHARLES N BAUMGARDNER
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Credential | RPH
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Telephone | 864-316-9689
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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