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General NPI Number Information
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NPI Number | 1447445739
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Entity Type | Individual
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Provider Name | CAROLINE JUNE PETER R.PH.
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Gender | Female
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 06/08/2025
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Provider Practice Location Address
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Address Line | 204 LIBERTY PLAZA WEST SWANNANOA AVENUE
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City | LIBERTY
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State | NC
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Zip | 27298
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Country | US
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Telephone | 336-622-1444
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Fax | 336-622-7299
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Provider Business Mailing Address
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Address Line | 8430 W BRYN MAWR AVE STE 1150
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City | CHICAGO
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State | IL
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Zip | 60631-3473
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Country | US
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Telephone | 847-588-7170
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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 | 13557
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License Number State | NC
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