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General NPI Number Information
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NPI Number | 1376017822
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Entity Type | Individual
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Provider Name | KATHERINE ELIZABETH BRICCO PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/17/2019
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 11135 GOLF LINKS DR
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City | CHARLOTTE
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State | NC
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Zip | 28277-7801
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Country | US
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Telephone | 704-303-8626
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Fax | 704-705-2749
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Provider Business Mailing Address
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Address Line | 7828 ARBORETUM DR APT 201
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City | CHARLOTTE
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State | NC
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Zip | 28270-0018
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Country | US
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Telephone | 864-561-5680
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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 | 22140
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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 | 30901
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License Number State | NC
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