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General NPI Number Information
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NPI Number | 1922392505
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Entity Type | Individual
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Provider Name | AMY M HEBBARD PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/01/2011
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Last Update Date | 06/01/2011
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Provider Practice Location Address
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Address Line | INSTITUTE OF PSYCHAITRY PHARMACY 67 PRESIDENT ST, ROOM 448N
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City | CHARLESTON
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State | SC
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Zip | 29425-0001
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Country | US
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Telephone | 843-792-5952
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Fax | 843-792-5954
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Provider Business Mailing Address
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Address Line | INSTITUTE OF PSYCHAITRY PHARMACY 67 PRESIDENT ST, ROOM 448N
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City | CHARLESTON
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State | SC
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Zip | 29425-0001
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Country | US
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Telephone | 843-792-5952
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Fax | 843-792-5954
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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 | 12975
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License Number State | SC
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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 | RPH 024801
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License Number State | GA
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