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General NPI Number Information
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NPI Number | 1790808368
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Entity Type | Organization
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Legal Business Name | PALMETTO BREATHING SOLUTIONS
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 05/14/2009
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Provider Practice Location Address
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Address Line | 18 PUBLIC SQ
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City | DARLINGTON
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State | SC
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Zip | 29532-3212
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Country | US
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Telephone | 843-393-1001
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Fax |
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Provider Business Mailing Address
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Address Line | 18 PUBLIC SQ
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City | DARLINGTON
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State | SC
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Zip | 29532-3212
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Country | US
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Telephone | 843-393-1001
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHUCK EARLY
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Credential | RPH
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Telephone | 843-393-1001
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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 | 5875
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License Number State | SC
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