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General NPI Number Information
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NPI Number | 1386867893
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Entity Type | Individual
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Provider Name | JEFF CARVER FITZGERALD RPH
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Gender | Male
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 605 S MORGAN ST POB 1359
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City | ROXBORO
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State | NC
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Zip | 27573-5435
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Country | US
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Telephone | 336-599-2166
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Fax | 336-599-0955
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Provider Business Mailing Address
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Address Line | 634 LONG AVE
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City | ROXBORO
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State | NC
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Zip | 27573-5135
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Country | US
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Telephone | 336-599-7855
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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 | 7237
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License Number State | NC
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