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General NPI Number Information
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NPI Number | 1740271246
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Entity Type | Individual
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Provider Name | DEWEY ALDON BURDINE PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1233 BOILING SPRINGS RD
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City | SPARTANBURG
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State | SC
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Zip | 29303-2258
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Country | US
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Telephone | 800-494-7127
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Fax |
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Provider Business Mailing Address
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Address Line | 317 WOODGROVE TRCE
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City | SPARTANBURG
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State | SC
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Zip | 29301-6433
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Country | US
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Telephone | 864-576-1947
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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 | 4585
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 8336
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License Number State | NC
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