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General NPI Number Information
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NPI Number | 1922510783
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Entity Type | Organization
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Legal Business Name | TEDC
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Dates
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Enumeration Date | 11/01/2017
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Last Update Date | 11/01/2017
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Provider Practice Location Address
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Address Line | 1298 YEAMANS HALL RD
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City | HANAHAN
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State | SC
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Zip | 29410
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Country | US
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Telephone | 843-207-4087
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Fax |
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Provider Business Mailing Address
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Address Line | 1303 WIND SWWEPT CT.
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City | HANAHAN
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State | SC
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Zip | 29410
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Country | US
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Telephone | 843-532-1972
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Fax |
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | ELIZABETH CAMMER
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Credential | PHARMD
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Telephone | 843-207-4087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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