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General NPI Number Information
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NPI Number | 1831401330
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Entity Type | Individual
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Provider Name | EHAB K MIKHAEL RPH
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Gender | Male
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Dates
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Enumeration Date | 07/13/2010
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Last Update Date | 03/11/2021
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Provider Practice Location Address
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Address Line | 2701 DICK POND RD
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City | SURFSIDE BEACH
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State | SC
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Zip | 29575-5510
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Country | US
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Telephone | 843-650-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 CHURCH ST
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City | CONWAY
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State | SC
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Zip | 29526-2959
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Country | US
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Telephone | 843-488-2000
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Fax | 843-488-2222
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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 | 12869
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License Number State | SC
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