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General NPI Number Information
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NPI Number | 1750426359
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Entity Type | Individual
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Provider Name | WARING WYCHE III RPH
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Gender | Male
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 729 W BASE ST
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City | MADISON
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State | FL
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Zip | 32340-1461
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Country | US
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Telephone | 850-973-2719
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Fax | 850-973-2987
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Provider Business Mailing Address
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Address Line | PO BOX 1004
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City | MADISON
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State | FL
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Zip | 32341-5004
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Country | US
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Telephone | 850-973-2796
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Fax | 850-973-2987
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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 | PS27220
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License Number State | FL
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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 | RPH016958
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License Number State | GA
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