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General NPI Number Information
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NPI Number | 1174131700
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Entity Type | Individual
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Provider Name | ZACKERY SALDO PHARMD, RPH
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Gender | Male
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Dates
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Enumeration Date | 07/20/2020
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Last Update Date | 07/20/2020
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Provider Practice Location Address
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Address Line | 1025 NC 24-87
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City | CAMERON
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State | NC
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Zip | 28326-6954
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Country | US
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Telephone | 704-466-0760
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Fax |
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Provider Business Mailing Address
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Address Line | 21 SWEET HOME CT
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City | LILLINGTON
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State | NC
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Zip | 27546-5173
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Country | US
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Telephone | 704-466-0760
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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 | 29518
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License Number State | NC
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