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General NPI Number Information
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NPI Number | 1811720469
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Entity Type | Individual
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Provider Name | LISA IVEY TROUP RPH
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Gender | Female
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Dates
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Enumeration Date | 08/20/2024
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 309 ROLLING HILLS CIR
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City | EASLEY
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State | SC
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Zip | 29640-7124
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Country | US
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Telephone | 864-644-9012
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Fax | 864-644-9013
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Provider Business Mailing Address
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Address Line | 223 HENRYDALE DR
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City | EASLEY
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State | SC
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Zip | 29642-5900
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Country | US
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Telephone | 478-957-5470
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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 | 015507
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License Number State | GA
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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 | 60433
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License Number State | SC
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