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General NPI Number Information
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NPI Number | 1861375164
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Entity Type | Individual
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Provider Name | ALYSSA M CARNEIRO PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/26/2025
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Last Update Date | 07/26/2025
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Provider Practice Location Address
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Address Line | 2566 ASHLEY RIVER RD
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City | CHARLESTON
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State | SC
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Zip | 29414-4605
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Country | US
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Telephone | 843-769-6560
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Fax |
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Provider Business Mailing Address
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Address Line | 1674 FOLLY RD APT 730
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City | CHARLESTON
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State | SC
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Zip | 29412-8721
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Country | US
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Telephone | 860-306-8935
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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 | PH.60679PH
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License Number State | SC
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