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General NPI Number Information
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NPI Number | 1003290768
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Entity Type | Individual
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Provider Name | WILLIAM AMUNDSEN
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Gender | Male
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Dates
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Enumeration Date | 07/13/2015
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Last Update Date | 07/13/2015
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Provider Practice Location Address
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Address Line | 808 NC HWY 69
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City | HAYESVILLE
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State | NC
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Zip | 28904
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Country | US
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Telephone | 828-389-6900
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Fax | 828-369-6966
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Provider Business Mailing Address
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Address Line | 197 BOURNE DR
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City | MURPHY
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State | NC
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Zip | 28906-9010
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Country | US
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Telephone | 828-557-3612
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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 | 10383
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License Number State | NC
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