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General NPI Number Information
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NPI Number | 1023777398
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Entity Type | Individual
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Provider Name | ELIZABETH ANN PUTNEY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/14/2021
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 1225 LEWISVILLE CLEMMONS RD
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City | LEWISVILLE
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State | NC
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Zip | 27023-8251
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Country | US
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Telephone | 336-712-0700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 60447
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City | CHARLOTTE
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State | NC
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Zip | 28260-0447
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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 |
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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 | 30843
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License Number State | NC
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Taxonomy #2
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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 | 30843
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License Number State | NC
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