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General NPI Number Information
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NPI Number | 1083900849
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Entity Type | Individual
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Provider Name | DENISE GRAY BARNES
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Gender | Female
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Dates
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Enumeration Date | 06/21/2011
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Last Update Date | 06/21/2011
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Provider Practice Location Address
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Address Line | 5471 UNIVERSITY PKWY
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City | WINSTON SALEM
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State | NC
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Zip | 27105-1374
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Country | US
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Telephone | 336-744-2321
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Fax | 336-744-2329
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Provider Business Mailing Address
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Address Line | 2104 PENDRAGON CT
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City | PFAFFTOWN
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State | NC
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Zip | 27040-9211
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Country | US
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Telephone | 336-946-2602
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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 | 10076
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License Number State | NC
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