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General NPI Number Information
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NPI Number | 1083600696
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Entity Type | Organization
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Legal Business Name | LAYNE'S FAMILY PHARMACY, INC.
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 04/11/2011
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Provider Practice Location Address
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Address Line | 509 S VAN BUREN RD
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City | EDEN
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State | NC
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Zip | 27288-5018
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Country | US
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Telephone | 336-627-4600
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Fax | 336-627-1399
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Provider Business Mailing Address
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Address Line | 509 S VAN BUREN RD
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City | EDEN
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State | NC
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Zip | 27288-5018
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Country | US
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Telephone | 336-627-4600
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Fax | 336-627-1399
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | KEVIN R. LAYNE
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Credential | RPH
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Telephone | 336-627-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 07678
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License Number State | NC
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