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General NPI Number Information
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NPI Number | 1699083782
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Entity Type | Individual
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Provider Name | SHARON LYNN LONG RPH
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Gender | Female
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Dates
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Enumeration Date | 09/22/2010
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Last Update Date | 09/22/2010
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Provider Practice Location Address
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Address Line | 3500 WAKE FOREST RD
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City | RALEIGH
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State | NC
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Zip | 27609-7307
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Country | US
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Telephone | 919-855-5694
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Fax |
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Provider Business Mailing Address
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Address Line | 1405 VANN DOWDA PL
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City | WAKE FOREST
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State | NC
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Zip | 27587-3812
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Country | US
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Telephone | 978-660-6573
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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 | 14162
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License Number State | NC
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