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General NPI Number Information
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NPI Number | 1154763472
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Entity Type | Individual
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Provider Name | EMILIE SPILLMAN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/28/2013
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 4821 BEREWICK TOWN CENTER DR
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City | CHARLOTTE
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State | NC
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Zip | 28278-6762
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Country | US
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Telephone | 704-587-1011
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Fax |
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Provider Business Mailing Address
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Address Line | 4821 BEREWICK TOWN CENTER DR
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City | CHARLOTTE
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State | NC
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Zip | 28278-6762
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Country | US
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Telephone | 704-587-1011
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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 | 13609
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 41904
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 24617
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License Number State | NC
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