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General NPI Number Information
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NPI Number | 1326585423
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Entity Type | Individual
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Provider Name | CARLA NORMAN
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Gender | Female
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Dates
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Enumeration Date | 01/26/2017
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Last Update Date | 01/26/2017
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Provider Practice Location Address
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Address Line | 1116 CROSSROADS DR
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City | STATESVILLE
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State | NC
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Zip | 28625-8277
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Country | US
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Telephone | 704-871-9824
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Fax |
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Provider Business Mailing Address
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Address Line | 816 SHINNVILLE RD
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City | MOORESVILLE
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State | NC
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Zip | 28115-9379
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Country | US
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Telephone | 704-663-0308
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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 | 10995
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License Number State | NC
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