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General NPI Number Information
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NPI Number | 1316249873
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Entity Type | Organization
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Legal Business Name | TAYLOE DRUG COMPANY, INC.
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Dates
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Enumeration Date | 12/03/2010
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Last Update Date | 12/03/2010
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Provider Practice Location Address
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Address Line | 601 E 12TH ST
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City | WASHINGTON
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State | NC
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Zip | 27889-3408
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Country | US
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Telephone | 252-946-2084
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Fax | 252-946-9552
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Provider Business Mailing Address
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Address Line | 601 E 12TH ST
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City | WASHINGTON
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State | NC
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Zip | 27889-3408
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Country | US
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Telephone | 252-946-2084
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Fax | 252-946-9552
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MS. LORI CHAMPION MELTON
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Credential | MS, LPC, CRC, CPHT
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Telephone | 252-946-2084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 01809
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License Number State | NC
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