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General NPI Number Information
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NPI Number | 1396957072
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Entity Type | Individual
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Provider Name | BRIAN SCOTT MARKS RPH
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Gender | Male
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2401 HICKSWOOD RD SUITE B (DEEP RIVER DRUG)
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City | HIGH POINT
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State | NC
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Zip | 27265
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Country | US
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Telephone | 336-454-3784
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Fax |
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Provider Business Mailing Address
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Address Line | 2416 WILDCREST CT
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City | HIGH POINT
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State | NC
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Zip | 27265-9227
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Country | US
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Telephone | 336-882-4533
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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 | 12854
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License Number State | NC
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