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General NPI Number Information
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NPI Number | 1013230580
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Entity Type | Individual
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Provider Name | LISA SMITH PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 03/11/2010
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Last Update Date | 03/11/2010
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Provider Practice Location Address
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Address Line | 316 N. MAIN STREET
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City | WINGATE
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State | NC
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Zip | 28174
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Country | US
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Telephone | 704-233-8351
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Fax |
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Provider Business Mailing Address
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Address Line | 8422 ROYSTER RUN
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City | WAXHAW
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State | NC
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Zip | 28173-7829
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Country | US
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Telephone | 704-243-7098
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 15347
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License Number State | NC
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