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General NPI Number Information
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NPI Number | 1750127163
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Entity Type | Individual
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Provider Name | ANTHONY D ESPOSITO
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Gender | Male
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Dates
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Enumeration Date | 07/04/2024
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Last Update Date | 07/04/2024
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Provider Practice Location Address
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Address Line | 599 RICE AVE
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City | UNION
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State | SC
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Zip | 29379-1840
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Country | US
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Telephone | 864-427-7668
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Fax |
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Provider Business Mailing Address
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Address Line | 100 MCNEASE ST
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City | UNION
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State | SC
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Zip | 29379-3023
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Country | US
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Telephone | 864-491-0472
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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 | 60217
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License Number State | SC
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