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NPI 1437100476

NPI 1437100476 : ANN RECTOR SLADE PHARMACIST : RALEIGH, NC

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General NPI Number Information
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    NPI Number           |    1437100476
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    Entity Type          |    Individual 
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    Provider Name        |    ANN RECTOR SLADE PHARMACIST
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/15/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    2501 MAIL SERVICE CTR 
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    City                 |    RALEIGH
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    State                |    NC
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    Zip                  |    27699-2501
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    Country              |    US
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    Telephone            |    919-647-8150
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    Fax                  |    919-715-7706
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Provider Business Mailing Address
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    Address Line         |    8300 N CRESTWYCK CT 
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    City                 |    RALEIGH
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    State                |    NC
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    Zip                  |    27615-3211
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    Country              |    US
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    Telephone            |    919-847-9911
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    Fax                  |    919-715-7706
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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       |    6381
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    License Number State |    NC
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