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General NPI Number Information
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NPI Number | 1649540881
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Entity Type | Individual
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Provider Name | MR. REX SMITH MCGEE JR.
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Gender | Male
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Dates
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Enumeration Date | 01/05/2012
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Last Update Date | 01/27/2016
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Provider Practice Location Address
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Address Line | 4996 COUNTRY CLUB RD
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City | WINSTON SALEM
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State | NC
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Zip | 27104-4506
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Country | US
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Telephone | 336-774-8420
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Fax | 336-774-8583
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Provider Business Mailing Address
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Address Line | 5175 BROOKBERRY PARK AVE
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City | WINSTON SALEM
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State | NC
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Zip | 27104-3784
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Country | US
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Telephone | 336-245-3009
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Fax | 336-245-3008
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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 | 12212
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License Number State | NC
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