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General NPI Number Information
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NPI Number | 1285341453
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Entity Type | Individual
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Provider Name | DYLAN KING PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/27/2022
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | 5680 NC HIGHWAY 42 W
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City | GARNER
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State | NC
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Zip | 27529-8120
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Country | US
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Telephone | 919-772-6450
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Fax |
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Provider Business Mailing Address
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Address Line | 316 WOODLIEF FARM RD
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City | ROLESVILLE
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State | NC
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Zip | 27571-9224
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Country | US
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Telephone | 919-218-3162
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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 | 31557
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License Number State | NC
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