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General NPI Number Information
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NPI Number | 1215152194
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Entity Type | Individual
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Provider Name | JAMES C SUAREZ RPH
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Gender | Male
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 815 FAIRGROVE CHURCH RD SE
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City | CONOVER
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State | NC
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Zip | 28613-8609
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Country | US
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Telephone | 828-322-4505
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Fax | 828-322-2669
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Provider Business Mailing Address
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Address Line | 612 5TH AVE NE
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City | CONOVER
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State | NC
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Zip | 28613-1623
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Country | US
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Telephone | 828-465-1977
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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 | NC5566
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License Number State | NC
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