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NPI 1467930438

NPI 1467930438 : JOSHUA ALLEN SPENCER PHARMD : MORGANTON, NC

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General NPI Number Information
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    NPI Number           |    1467930438
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    Entity Type          |    Individual 
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    Provider Name        |    JOSHUA ALLEN SPENCER PHARMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/01/2018
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    Last Update Date     |    08/01/2018
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Provider Practice Location Address
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    Address Line         |    120 CARBON CITY RD 
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    City                 |    MORGANTON
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    State                |    NC
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    Zip                  |    28655-4226
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    Country              |    US
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    Telephone            |    828-437-3833
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2795 PINEY RIDGE ST 
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    City                 |    VALE
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    State                |    NC
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    Zip                  |    28168-8971
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    Country              |    US
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    Telephone            |    828-461-8103
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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       |    28083
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    License Number State |    NC
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