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General NPI Number Information
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NPI Number | 1437186475
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Entity Type | Individual
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Provider Name | UPTON JEROME BARRETT RPH
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Gender | Male
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 756 S CHURCH ST
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City | FOREST CITY
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State | NC
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Zip | 28043-3941
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Country | US
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Telephone | 828-245-0786
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Fax |
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Provider Business Mailing Address
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Address Line | 105 EAGLE SPRU TRAIL
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City | SHELBY
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State | NC
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Zip | 28152
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Country | US
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Telephone | 704-313-3150
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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 | 6762
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License Number State | NC
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