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General NPI Number Information
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NPI Number | 1558178368
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Entity Type | Individual
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Provider Name | AUDREY SHULTZ PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 86 N MITCHELL AVE
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City | BAKERSVILLE
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State | NC
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Zip | 28705-6502
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Country | US
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Telephone | 828-688-2104
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Fax |
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Provider Business Mailing Address
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Address Line | 204 LONGLEAF DR UNIT 304
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City | ARDEN
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State | NC
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Zip | 28704-1359
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Country | US
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Telephone | 828-778-2397
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Fax |
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 700624
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License Number State | NC
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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 | 33168
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License Number State | NC
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