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General NPI Number Information
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NPI Number | 1558494013
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Entity Type | Individual
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Provider Name | AUDREY RECTOR TIGNOR PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1250 S CANNON BLVD
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City | KANNAPOLIS
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State | NC
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Zip | 28083-6231
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Country | US
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Telephone | 704-933-1268
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Fax |
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Provider Business Mailing Address
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Address Line | 15754 TRENTON PLACE RD
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-8085
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Country | US
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Telephone | 704-701-1176
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 15005
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License Number State | NC
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