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General NPI Number Information
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NPI Number | 1528344868
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Entity Type | Individual
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Provider Name | CHARLES WILLIAM EPPERSON RPH
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Gender | Male
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Dates
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Enumeration Date | 11/01/2011
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Last Update Date | 11/01/2011
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Provider Practice Location Address
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Address Line | 3430 E 850 N
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City | LEBANON
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State | IN
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Zip | 46052-8227
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Country | US
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Telephone | 765-325-4054
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Fax | 765-325-2588
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Provider Business Mailing Address
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Address Line | 3430 E 850 N
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City | LEBANON
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State | IN
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Zip | 46052-8227
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Country | US
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Telephone | 765-325-4054
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Fax | 765-325-2588
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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 | 26091630A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051.029160
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License Number State | IL
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