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General NPI Number Information
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NPI Number | 1154772341
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Entity Type | Individual
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Provider Name | CHRISTOPHER POWELL PHARMD
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Gender | Male
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Dates
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Enumeration Date | 06/29/2016
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Last Update Date | 06/29/2016
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Provider Practice Location Address
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Address Line | 1721 W CUMBERLAND ST
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City | DUNN
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State | NC
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Zip | 28334-4509
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Country | US
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Telephone | 910-892-2189
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Fax |
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Provider Business Mailing Address
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Address Line | 914 MULBERRY RD
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City | CLAYTON
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State | NC
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Zip | 27520-2130
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Country | US
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Telephone |
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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 | 26095
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License Number State | NC
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