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NPI 1780856005

NPI 1780856005 : MR. JAMES ALLEN NEIPP : NORTH CHARLESTON, SC

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General NPI Number Information
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    NPI Number           |    1780856005
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    Entity Type          |    Individual 
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    Provider Name        |    MR. JAMES ALLEN NEIPP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/26/2008
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    Last Update Date     |    03/26/2008
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Provider Practice Location Address
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    Address Line         |    3725 RIVERS AVE 
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    City                 |    NORTH CHARLESTON
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    State                |    SC
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    Zip                  |    29405-7038
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    Country              |    US
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    Telephone            |    843-745-8637
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    Fax                  |    843-747-6841
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Provider Business Mailing Address
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    Address Line         |    470 COMMONWEALTH DR 
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    City                 |    MT PLEASANT
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    State                |    SC
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    Zip                  |    29466-8317
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    Country              |    US
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    Telephone            |    843-971-0223
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    Fax                  |    843-971-0223
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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       |    005973
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    License Number State |    SC
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