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General NPI Number Information
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NPI Number | 1790661023
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Entity Type | Individual
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Provider Name | ALEXANDRIA COLEMAN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 623 BELTLINE BLVD
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City | COLUMBIA
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State | SC
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Zip | 29205-3628
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Country | US
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Telephone | 803-849-1500
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Fax | 803-849-1510
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Provider Business Mailing Address
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Address Line | 323 HIGH GROVE WAY
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City | COLUMBIA
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State | SC
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Zip | 29210-4067
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Country | US
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Telephone | 706-469-7701
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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 | 60730
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License Number State | SC
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