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NPI 1376866087

NPI 1376866087 : PRESS LEE GRAY RPH : ALBEMARLE, NC

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General NPI Number Information
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    NPI Number           |    1376866087
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    Entity Type          |    Individual 
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    Provider Name        |    PRESS LEE GRAY RPH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/09/2010
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    Last Update Date     |    03/09/2010
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Provider Practice Location Address
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    Address Line         |    840 NC HWY 24/27 
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    City                 |    ALBEMARLE
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    State                |    NC
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    Zip                  |    28001
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    Country              |    US
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    Telephone            |    704-982-2301
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    Fax                  |    704-982-2315
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Provider Business Mailing Address
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    Address Line         |    2116 MARWOOD LN 
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    City                 |    ALBEMARLE
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    State                |    NC
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    Zip                  |    28001-9122
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    Country              |    US
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    Telephone            |    704-983-3007
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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       |    10318
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    License Number State |    NC
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