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General NPI Number Information
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NPI Number | 1013202167
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Entity Type | Individual
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Provider Name | LISA BALLARD SALYER RPH
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Gender | Female
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Dates
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Enumeration Date | 06/16/2011
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Last Update Date | 06/16/2011
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Provider Practice Location Address
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Address Line | 3026 BRAGG BLVD
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-4043
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Country | US
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Telephone | 910-864-4556
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Fax |
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Provider Business Mailing Address
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Address Line | 2531 TORCROSS DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3651
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Country | US
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Telephone | 910-484-7570
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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 | 13575
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License Number State | NC
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