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General NPI Number Information
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NPI Number | 1295375236
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Entity Type | Individual
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Provider Name | MEREDITH WELTY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/07/2020
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Last Update Date | 01/07/2020
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Provider Practice Location Address
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Address Line | 3330 W FRIENDLY AVE
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City | GREENSBORO
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State | NC
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Zip | 27410-4806
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Country | US
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Telephone | 336-297-1361
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Fax |
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Provider Business Mailing Address
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Address Line | 103 TALL OAKS DR APT 2G
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City | GREENSBORO
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State | NC
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Zip | 27455-3026
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Country | US
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Telephone | 336-971-8756
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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 | 20611
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28299
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License Number State | NC
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