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General NPI Number Information
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NPI Number | 1902116684
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Entity Type | Individual
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Provider Name | SVETLANA STARIKOVA PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/15/2010
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Last Update Date | 06/12/2013
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Provider Practice Location Address
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Address Line | 3510 AUGUSTA RD
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City | GREENVILLE
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State | SC
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Zip | 29605-1302
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Country | US
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Telephone | 864-299-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 130 MONIQUE LN
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City | WOODRUFF
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State | SC
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Zip | 29388-8008
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Country | US
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Telephone | 413-626-6200
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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 | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | 03327271
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | PH25529
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | RP443508
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License Number State | PA
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