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General NPI Number Information
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NPI Number | 1699488395
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Entity Type | Individual
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Provider Name | ALEXA NARDONE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/28/2022
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Last Update Date | 12/28/2022
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Provider Practice Location Address
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Address Line | 1100 REVOLUTION MILL DR STE 10
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City | GREENSBORO
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State | NC
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Zip | 27405-5067
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Country | US
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Telephone | 864-908-6208
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 SHUCKER CIR APT 205
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City | MOUNT PLEASANT
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State | SC
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Zip | 29464-4945
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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 | 43774
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License Number State | SC
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