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General NPI Number Information
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NPI Number | 1275417032
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Entity Type | Individual
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Provider Name | JULIE GORDON
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Gender | Female
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 1601 BRENNER AVE
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City | SALISBURY
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State | NC
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Zip | 28144-2515
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Country | US
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Telephone | 800-706-9126
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Fax |
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Provider Business Mailing Address
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Address Line | 1115 JENI LN APT 1103
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City | CHARLOTTE
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State | NC
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Zip | 28262-2134
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Country | US
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Telephone | 937-422-5463
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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 | 03445475
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License Number State | OH
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