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General NPI Number Information
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NPI Number | 1396984522
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Entity Type | Organization
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Legal Business Name | JP AND F INC
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Dates
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Enumeration Date | 02/11/2009
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Last Update Date | 07/01/2015
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Provider Practice Location Address
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Address Line | 422 HIGHWAY 29 N
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City | CHINA GROVE
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State | NC
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Zip | 28023-0017
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Country | US
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Telephone | 704-856-2579
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Fax | 704-855-5556
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Provider Business Mailing Address
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Address Line | 422 HWY 29 N
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City | CHINA GROVE
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State | NC
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Zip | 28023
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Country | US
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Telephone | 704-856-2579
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Fax | 704-855-5556
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | MR. ANTHONY C. CLODFELTER
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Credential | RPH
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Telephone | 704-856-2579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 10255
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License Number State | NC
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