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General NPI Number Information
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NPI Number | 1598436156
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Entity Type | Individual
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Provider Name | DELIA T GRAY CPHT
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Gender | Female
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Dates
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Enumeration Date | 09/23/2021
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Last Update Date | 09/23/2021
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Provider Practice Location Address
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Address Line | 581 GUY RD STE 102
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City | CLAYTON
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State | NC
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Zip | 27520-5122
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Country | US
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Telephone | 919-359-0499
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Fax | 919-359-0699
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Provider Business Mailing Address
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Address Line | 581 GUY RD STE 102
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City | CLAYTON
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State | NC
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Zip | 27520-5122
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Country | US
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Telephone | 919-359-0499
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Fax | 919-359-0699
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 16393
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License Number State | NC
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