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General NPI Number Information
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NPI Number | 1023424066
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Entity Type | Organization
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Legal Business Name | TARGET
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Dates
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Enumeration Date | 07/10/2014
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Last Update Date | 07/10/2014
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Provider Practice Location Address
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Address Line | 8830 ALBEMARLE RD
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City | CHARLOTTE
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State | NC
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Zip | 28227-2616
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Country | US
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Telephone | 704-264-0079
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Fax |
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Provider Business Mailing Address
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Address Line | 8 PRESIDENT PL APT A
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City | CHARLESTON
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State | SC
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Zip | 29403-5216
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. BHAVINA ATUL PATEL
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Credential |
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Telephone | 843-367-4779
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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 | 24386
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License Number State | NC
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