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General NPI Number Information
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NPI Number | 1457861866
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Entity Type | Individual
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Provider Name | SARAH LYNN EGGERS RUSSELL PHARMD, BCACP, CPP
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Gender | Female
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Dates
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Enumeration Date | 10/11/2017
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Last Update Date | 02/14/2023
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Provider Practice Location Address
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Address Line | 1501 W CUMBERLAND ST
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City | DUNN
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State | NC
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Zip | 28334-4505
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Country | US
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Telephone | 828-773-7955
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Fax | 828-773-7955
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Provider Business Mailing Address
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Address Line | 2076 NC HIGHWAY 42 W STE 100
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City | CLAYTON
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State | NC
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Zip | 27520-5303
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Country | US
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Telephone | 984-215-3968
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Fax | 919-359-0326
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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 | 26978
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License Number State | NC
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