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General NPI Number Information
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NPI Number | 1528021375
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Entity Type | Organization
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Legal Business Name | BEAM&PUTNAM INC
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 701 W FRANKLIN BLVD
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City | GASTONIA
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State | NC
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Zip | 28052-3830
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Country | US
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Telephone | 704-867-9611
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Fax | 704-864-7466
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Provider Business Mailing Address
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Address Line | 701 W FRANKLIN BLVD
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City | GASTONIA
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State | NC
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Zip | 28052-3830
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Country | US
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Telephone | 704-867-9611
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Fax | 704-864-7466
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Authorized Official
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Title or Position | OWNER/MGR
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Name | MR. ROGER DELANE PUTNAM
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Credential |
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Telephone | 704-867-9611
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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 | 7051
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License Number State | NC
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