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General NPI Number Information
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NPI Number | 1699258525
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Entity Type | Individual
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Provider Name | MATTHEW THOMPSON RPH
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Gender | Male
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Dates
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Enumeration Date | 09/06/2018
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Last Update Date | 09/06/2018
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Provider Practice Location Address
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Address Line | 8765 HIGHWAY 52
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City | ROCKWELL
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State | NC
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Zip | 28138-8550
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Country | US
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Telephone | 704-279-2581
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Fax |
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Provider Business Mailing Address
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Address Line | 2625 SOUTHWINDS RUN
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City | APEX
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State | NC
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Zip | 27502-6514
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Country | US
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Telephone |
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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 | 27291
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License Number State | NC
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