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General NPI Number Information
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NPI Number | 1457846495
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Entity Type | Individual
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Provider Name | COURTNEY CANTY JAMES PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/22/2018
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Last Update Date | 06/22/2018
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Provider Practice Location Address
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Address Line | 3300 W FRIENDLY AVE
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City | GREENSBORO
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State | NC
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Zip | 27410
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Country | US
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Telephone | 336-297-1361
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Fax |
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Provider Business Mailing Address
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Address Line | 4912 KOGER BLVD APT 1A
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City | GREENSBORO
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State | NC
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Zip | 27407-2795
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Country | US
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Telephone | 803-410-1433
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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 | 0202214769
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 23742
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License Number State | NC
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