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NPI 1407457047

NPI 1407457047 : MORGAN MELAINE CORBIN PHARMD, BCOP : WILMINGTON, NC

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General NPI Number Information
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    NPI Number           |    1407457047
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    Entity Type          |    Individual 
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    Provider Name        |    MORGAN MELAINE CORBIN PHARMD, BCOP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/02/2020
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    Last Update Date     |    05/20/2024
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Provider Practice Location Address
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    Address Line         |    2131 S 17TH ST 
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    City                 |    WILMINGTON
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    State                |    NC
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    Zip                  |    28401-7407
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    Country              |    US
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    Telephone            |    910-667-7245
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 936857 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    31193-6857
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    Country              |    US
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    Telephone            |    910-667-3000
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    Fax                  |    910-667-6758
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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        |    1835P0018X
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    Taxonomy Name        |    Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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    License Number       |    26027725A
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    License Number State |    IN
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Taxonomy #2
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    Taxonomy Code        |    1835X0200X
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    Taxonomy Name        |    Oncology Pharmacist
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    License Number       |    26027725A
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    License Number State |    IN
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Taxonomy #3
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    700500
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    License Number State |    NC
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