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General NPI Number Information
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NPI Number | 1184960528
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Entity Type | Organization
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Legal Business Name | LEAR ENTERPRISES INC
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Dates
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Enumeration Date | 12/12/2012
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Last Update Date | 07/28/2020
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Provider Practice Location Address
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Address Line | 8145 ARDREY KELL RD SUITE 105
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City | CHARLOTTE
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State | NC
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Zip | 28277-5720
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Country | US
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Telephone | 704-321-0027
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Fax | 704-321-0067
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Provider Business Mailing Address
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Address Line | 8145 ARDREY KELL RD SUITE 105
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City | CHARLOTTE
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State | NC
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Zip | 28277-5720
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Country | US
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Telephone | 704-321-0027
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Fax | 704-321-0067
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | AMY KERN
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Credential | PHARMD
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Telephone | 704-321-0027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 10154
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License Number State | NC
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