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General NPI Number Information
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NPI Number | 1962491332
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Entity Type | Individual
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Provider Name | BETTIE BERNARD STOVER
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Gender | Female
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Dates
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Enumeration Date | 10/19/2005
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 35 W LIBERTY ST
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City | SUMTER
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State | SC
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Zip | 29150-5240
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Country | US
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Telephone | 803-773-7283
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Fax | 803-775-7908
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Provider Business Mailing Address
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Address Line | 35 W LIBERTY ST
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City | SUMTER
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State | SC
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Zip | 29150-5240
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Country | US
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Telephone | 803-773-7283
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Fax | 803-775-7908
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 2451
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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 | 6112
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License Number State | SC
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