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General NPI Number Information
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NPI Number | 1053529115
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Entity Type | Individual
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Provider Name | KRISTEN MARIE NAGY PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 05/20/2007
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Last Update Date | 09/11/2008
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Provider Practice Location Address
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Address Line | 1000 BLYTHE BLVD
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City | CHARLOTTE
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State | NC
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Zip | 28203-5812
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Country | US
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Telephone | 704-355-2434
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Fax |
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Provider Business Mailing Address
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Address Line | 6560 LONG NOOK LN
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City | INDIAN TRAIL
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State | NC
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Zip | 28079-3678
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Country | US
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Telephone | 704-684-5047
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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 | 18519
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License Number State | NC
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