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General NPI Number Information
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NPI Number | 1538231329
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Entity Type | Organization
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Legal Business Name | G C VISIONS INVESTMENT GROUP LLC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1520 WEST BLVD STE D
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City | CHARLOTTE
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State | NC
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Zip | 28208-7071
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Country | US
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Telephone | 704-334-9494
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Fax | 704-334-9808
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Provider Business Mailing Address
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Address Line | 1520 WEST BLVD STE D
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City | CHARLOTTE
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State | NC
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Zip | 28208-7071
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER PHARMACIST
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Name | TONYA CARROLL
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Credential | RPH
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Telephone | 704-334-9494
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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 | 09449
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License Number State | NC
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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 |
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License Number State |
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