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General NPI Number Information
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NPI Number | 1659621860
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Entity Type | Organization
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Legal Business Name | CALDWELL MEMORIAL HOSPITAL INC
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Dates
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Enumeration Date | 09/14/2012
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Last Update Date | 05/28/2013
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Provider Practice Location Address
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Address Line | 240 TIMBERBROOK LN
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City | GRANITE FALLS
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State | NC
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Zip | 28630-1976
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Country | US
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Telephone | 828-757-8230
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Fax | 828-757-8235
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Provider Business Mailing Address
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Address Line | 240 TIMBERBROOK LN
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City | GRANITE FALLS
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State | NC
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Zip | 28630-1976
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Country | US
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Telephone | 828-757-8230
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Fax | 828-757-8235
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | ANGEL BARBER
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Credential |
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Telephone | 828-757-5582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 11390
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License Number State | NC
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