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General NPI Number Information
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NPI Number | 1184959918
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Entity Type | Individual
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Provider Name | ANDREW EMERY NAGLER JR. RPH
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Gender | Male
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Dates
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Enumeration Date | 10/13/2009
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Last Update Date | 10/13/2009
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Provider Practice Location Address
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Address Line | 671 S MEMORIAL DR
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City | GREENVILLE
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State | NC
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Zip | 27834-2856
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Country | US
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Telephone | 252-754-2099
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Fax |
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Provider Business Mailing Address
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Address Line | 1512 HAMMERSMITH DR
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City | WINTERVILLE
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State | NC
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Zip | 28590-7061
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Country | US
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Telephone | 252-439-7493
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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 | 15833
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License Number State | NC
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