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General NPI Number Information
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NPI Number | 1487977799
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Entity Type | Organization
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Legal Business Name | NORTH CAROLINA CNTRL UNIV
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Dates
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Enumeration Date | 03/02/2010
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 200 CAFETERIA DRIVE
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City | DURHAM
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State | NC
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Zip | 27707
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Country | US
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Telephone | 919-530-5465
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Fax | 919-530-7968
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Provider Business Mailing Address
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Address Line | PO BOX 19491
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City | DURHAM
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State | NC
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Zip | 27707-0020
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Country | US
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Telephone | 919-530-5465
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Fax | 919-530-7968
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | KIMBERLY DOBSON
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Credential |
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Telephone | 919-530-7336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5196
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License Number State | NC
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