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General NPI Number Information
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NPI Number | 1326472481
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Entity Type | Individual
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Provider Name | JENNIFER BETTANO PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/26/2013
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Last Update Date | 09/18/2013
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Provider Practice Location Address
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Address Line | 119 US HIGHWAY 13 BYP
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City | WINDSOR
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State | NC
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Zip | 27983-7118
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Country | US
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Telephone | 252-794-9299
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Fax |
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Provider Business Mailing Address
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Address Line | 119 US HIGHWAY 13 BYP
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City | WINDSOR
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State | NC
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Zip | 27983-7118
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Country | US
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Telephone | 252-794-9299
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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 | PCT.0012780
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License Number State | CT
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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 | 23760
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License Number State | NC
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