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General NPI Number Information
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NPI Number | 1720408347
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Entity Type | Individual
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Provider Name | AMY WRIGHT PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/22/2014
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Last Update Date | 04/22/2014
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Provider Practice Location Address
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Address Line | 3950 GRANDVIEW DR
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City | SIMPSONVILLE
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State | SC
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Zip | 29680-3163
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Country | US
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Telephone | 864-963-0272
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Fax | 864-963-2642
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Provider Business Mailing Address
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Address Line | 210 STEWARTS LNDG
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City | BOILING SPRINGS
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State | SC
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Zip | 29316-6147
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Country | US
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Telephone | 803-320-4437
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Fax |
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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 | 13417
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License Number State | SC
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