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General NPI Number Information
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NPI Number | 1669457586
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Entity Type | Individual
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Provider Name | DEREK CULHANE UNDERHILL PHARM.D., M.B.A.
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Gender | Male
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Dates
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Enumeration Date | 12/14/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2817 REILLY RD
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City | FORT BRAGG
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State | NC
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Zip | 28310-7324
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Country | US
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Telephone | 910-907-7061
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Fax |
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Provider Business Mailing Address
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Address Line | 606 RALEIGH ST
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City | FUQUAY VARINA
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State | NC
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Zip | 27526-2334
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Country | US
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Telephone | 919-762-1530
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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 | 17478
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1835N0905X
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Taxonomy Name | Nuclear Pharmacist
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License Number | 17478
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License Number State | NC
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