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General NPI Number Information
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NPI Number | 1669500450
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Entity Type | Organization
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Legal Business Name | PIEDMONT HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 01/18/2017
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Provider Practice Location Address
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Address Line | 224 S 10TH AVE
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City | SILER CITY
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State | NC
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Zip | 27344-2779
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Country | US
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Telephone | 919-663-0348
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Fax | 919-663-0368
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Provider Business Mailing Address
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Address Line | 224 S 10TH AVE
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City | SILER CITY
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State | NC
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Zip | 27344-2779
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Country | US
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Telephone | 919-663-0348
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Fax | 919-663-0368
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Authorized Official
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Title or Position | PHARMACIST
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Name | HIEU PHAM
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Credential |
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Telephone | 919-663-0348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 08882
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License Number State | NC
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