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General NPI Number Information
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NPI Number | 1699010579
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Entity Type | Individual
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Provider Name | WESTON RYAN CARTER PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 12/04/2012
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Last Update Date | 12/04/2012
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Provider Practice Location Address
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Address Line | 112 NICKLE PLATE RD
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City | HARDEEVILLE
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State | SC
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Zip | 29927-4414
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Country | US
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Telephone | 843-208-3605
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Fax | 843-208-3611
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Provider Business Mailing Address
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Address Line | 112 NICKLE PLATE RD
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City | HARDEEVILLE
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State | SC
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Zip | 29927-4414
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Country | US
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Telephone | 843-208-3605
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Fax | 843-208-3611
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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 | 13223
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License Number State | SC
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