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General NPI Number Information
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NPI Number | 1104659911
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Entity Type | Individual
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Provider Name | REBEKAH SOWERS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/26/2024
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 5710 W GATE CITY BLVD STE W
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City | GREENSBORO
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State | NC
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Zip | 27407-7047
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Country | US
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Telephone | 336-235-0711
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Fax |
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Provider Business Mailing Address
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Address Line | 2804 OVERVIEW TER
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City | HIGH POINT
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State | NC
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Zip | 27265-2334
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Country | US
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Telephone | 678-622-3694
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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 | 32670
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License Number State | NC
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