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General NPI Number Information
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NPI Number | 1588953574
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Entity Type | Individual
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Provider Name | RAMONA GRETAL BROWN RPH
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Gender | Female
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Dates
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Enumeration Date | 03/31/2011
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Last Update Date | 03/31/2011
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Provider Practice Location Address
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Address Line | 640 JAKE ALEXANDER BLVD W
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City | SALISBURY
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State | NC
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Zip | 28147-1367
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Country | US
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Telephone | 704-636-8852
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Fax | 704-638-9641
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Provider Business Mailing Address
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Address Line | 1861 BRIARCREST DR NW
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City | CHARLOTTE
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State | NC
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Zip | 28269-6217
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Country | US
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Telephone | 704-905-8296
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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 | 10882
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License Number State | NC
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