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General NPI Number Information
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NPI Number | 1336037449
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Entity Type | Individual
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Provider Name | NATHAN DAUGHTRY
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Gender | Male
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 1703 LIVE OAK ST
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City | BEAUFORT
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State | NC
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Zip | 28516-8200
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Country | US
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Telephone | 252-728-4115
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Fax | 252-728-1720
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Provider Business Mailing Address
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Address Line | 135 GIBBS CT
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City | BEAUFORT
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State | NC
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Zip | 28516-1558
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Country | US
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Telephone | 252-474-6581
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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 | 12997
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License Number State | NC
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