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General NPI Number Information
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NPI Number | 1407982333
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Entity Type | Organization
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Legal Business Name | NAN TAUSCHER ENTERPRISES, INC
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2509 E OZARK AVE
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City | GASTONIA
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State | NC
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Zip | 28054-1423
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Country | US
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Telephone | 704-867-2728
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Fax |
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Provider Business Mailing Address
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Address Line | 2509 E OZARK AVE
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City | GASTONIA
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State | NC
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Zip | 28054-1423
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Country | US
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Telephone | 704-867-2728
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NAN VIRGINIA TAUSCHER
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Credential | RPH
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Telephone | 704-867-2728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | 05629
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License Number State | NC
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