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General NPI Number Information
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NPI Number | 1588253470
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Entity Type | Organization
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Legal Business Name | COMMUNITY CARE CLINIC OF ROWAN
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Dates
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Enumeration Date | 01/14/2021
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Last Update Date | 01/14/2021
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Provider Practice Location Address
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Address Line | 315 MOCKSVILLE AVE STE G
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City | SALISBURY
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State | NC
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Zip | 28144-3346
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Country | US
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Telephone | 704-636-4523
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Fax | 704-636-4529
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Provider Business Mailing Address
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Address Line | 315 MOCKSVILLE AVE STE G
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City | SALISBURY
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State | NC
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Zip | 28144-3346
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Country | US
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Telephone | 704-636-4523
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Fax | 704-636-4529
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Authorized Official
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Title or Position | PHAMACIST
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Name | CATHY TEAT
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Credential |
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Telephone | 704-636-4523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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