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General NPI Number Information
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NPI Number | 1083438063
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Entity Type | Individual
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Provider Name | CHRISTOPHER JOHN TERRY PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/14/2024
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 403 E MAIN ST
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City | BENSON
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State | NC
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Zip | 27504-1530
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Country | US
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Telephone | 919-207-0637
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Fax |
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Provider Business Mailing Address
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Address Line | 1415 CANE MILL RD
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City | COATS
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State | NC
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Zip | 27521-9019
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Country | US
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Telephone | 919-796-3644
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 33558
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License Number State | NC
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