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General NPI Number Information
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NPI Number | 1487061198
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Entity Type | Organization
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Legal Business Name | CVS/PHARMACY
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Dates
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Enumeration Date | 07/14/2014
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Last Update Date | 07/14/2014
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Provider Practice Location Address
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Address Line | 3500 WAKE FOREST RD
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City | RALEIGH
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State | NC
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Zip | 27609-7307
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Country | US
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Telephone | 919-855-5694
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Fax |
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Provider Business Mailing Address
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Address Line | 6310 TERRA VERDE DR APT 347
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City | RALEIGH
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State | NC
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Zip | 27609-5392
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Country | US
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Telephone | 919-760-0402
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Fax |
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Authorized Official
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Title or Position | REGIONAL CONTACT
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Name | CHERYL A CANDORA
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Credential |
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Telephone | 919-981-6253
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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 | 23871
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License Number State | NC
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