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General NPI Number Information
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NPI Number | 1861790271
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Entity Type | Individual
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Provider Name | CYNTHIA C NIPPER RPH
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Gender | Female
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Dates
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Enumeration Date | 03/09/2011
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Last Update Date | 03/09/2011
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Provider Practice Location Address
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Address Line | 3518 MAIN HWY
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City | BAMBERG
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State | SC
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Zip | 29003-1863
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Country | US
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Telephone | 803-245-7018
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Fax |
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Provider Business Mailing Address
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Address Line | 2627 SHILLINGS BRIDGE RD
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City | ORANGEBURG
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State | SC
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Zip | 29115-8680
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Country | US
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Telephone | 803-534-2639
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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 | 5612
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License Number State | SC
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