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NPI 1588705610

NPI 1588705610 : GARY LEE SAIN PHARMACIST : HICKORY, NC

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General NPI Number Information
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    NPI Number           |    1588705610
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    Entity Type          |    Individual 
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    Provider Name        |    GARY LEE SAIN PHARMACIST
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/10/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    9471 NC HIGHWAY 127 
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    City                 |    HICKORY
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    State                |    NC
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    Zip                  |    28601-8394
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    Country              |    US
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    Telephone            |    828-495-8258
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    Fax                  |    828-495-8260
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Provider Business Mailing Address
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    Address Line         |    894 RIVER HILLS CT 
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    City                 |    TAYLORSVILLE
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    State                |    NC
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    Zip                  |    28681-7614
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    Country              |    US
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    Telephone            |    828-495-4177
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    Fax                  |    828-495-7624
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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       |    5860
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    License Number State |    NC
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