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General NPI Number Information
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NPI Number | 1194133215
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Entity Type | Individual
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Provider Name | MRS. JILL HUDSON
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Gender | Female
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Dates
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Enumeration Date | 08/01/2014
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Last Update Date | 08/01/2014
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Provider Practice Location Address
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Address Line | 1226 E DIXIE DR
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City | ASHEBORO
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State | NC
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Zip | 27203-8856
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Country | US
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Telephone | 336-626-5675
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Fax | 336-626-7363
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Provider Business Mailing Address
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Address Line | 1226 E DIXIE DR
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City | ASHEBORO
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State | NC
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Zip | 27203-8856
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Country | US
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Telephone | 336-626-5675
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Fax | 336-626-7363
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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 | 10710
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License Number State | NC
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