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General NPI Number Information
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NPI Number | 1679856231
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Entity Type | Individual
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Provider Name | ROSE ALTA BARNES PHARMACIST
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Gender | Female
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Dates
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Enumeration Date | 09/21/2011
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Last Update Date | 09/21/2011
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Provider Practice Location Address
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Address Line | 3300 RAMSEY ST
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-7624
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Country | US
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Telephone | 910-822-4965
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Fax |
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Provider Business Mailing Address
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Address Line | 4309 NORWICK DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-2531
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Country | US
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Telephone | 910-483-9999
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 16103
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 31163
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License Number State | TX
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