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General NPI Number Information
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NPI Number | 1477820371
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Entity Type | Individual
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Provider Name | LEISHA HOYLAND WALTERS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/19/2011
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 2985 E ELIZABETHTOWN RD
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City | LUMBERTON
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State | NC
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Zip | 28358-3307
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Country | US
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Telephone | 910-887-6108
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Fax | 910-887-6109
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Provider Business Mailing Address
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Address Line | 4120 NELSON WAY
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City | LUMBERTON
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State | NC
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Zip | 28360-9102
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Country | US
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Telephone | 910-734-1573
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Fax | 910-886-6109
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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 | 13613
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License Number State | NC
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