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General NPI Number Information
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NPI Number | 1528128253
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Entity Type | Individual
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Provider Name | TERRY CARLEY RPH
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Gender | Male
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 11/13/2007
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Provider Practice Location Address
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Address Line | 102 N ELM ST
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City | AVOCA
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State | IA
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Zip | 51521-0698
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Country | US
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Telephone | 712-343-6777
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Fax | 712-343-2681
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Provider Business Mailing Address
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Address Line | 102 N ELM ST PO BOX 698
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City | AVOCA
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State | IA
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Zip | 51521-0698
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Country | US
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Telephone | 712-343-6777
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Fax | 712-343-2681
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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 | 238
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License Number State | IA
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