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General NPI Number Information
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NPI Number | 1710273594
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Entity Type | Organization
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Legal Business Name | PRESBYTERIAN COLLEGE
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Dates
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Enumeration Date | 06/21/2011
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Last Update Date | 06/21/2011
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Provider Practice Location Address
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Address Line | 307 N BROAD ST
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City | CLINTON
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State | SC
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Zip | 29325-2305
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Country | US
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Telephone | 864-938-3900
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Fax |
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Provider Business Mailing Address
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Address Line | 307 N BROAD ST
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City | CLINTON
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State | SC
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Zip | 29325-2305
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Country | US
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Telephone | 864-938-3900
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Fax |
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Authorized Official
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Title or Position | DEAN
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Name | DR. RICHARD E. STULL
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Credential | PHD
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Telephone | 864-938-3901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 11110
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License Number State | SC
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