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General NPI Number Information
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NPI Number | 1396289823
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Entity Type | Individual
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Provider Name | CARLY HENDRIX PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/19/2016
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Last Update Date | 12/19/2016
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Provider Practice Location Address
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Address Line | 16715 OLD STATESVILLE RD
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-9583
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Country | US
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Telephone | 772-519-0029
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Fax |
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Provider Business Mailing Address
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Address Line | 5024 MOUNTAIN POINT LN
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City | CHARLOTTE
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State | NC
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Zip | 28216-7765
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Country | US
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Telephone |
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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 | 26642
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License Number State | NC
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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 | PS53451
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License Number State | FL
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