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General NPI Number Information
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NPI Number | 1700309614
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Entity Type | Individual
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Provider Name | CHRISTINA ROELS
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Gender | Female
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Dates
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Enumeration Date | 07/23/2017
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Last Update Date | 07/23/2017
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Provider Practice Location Address
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Address Line | 3333 SILAS CREEK PKWY
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City | WINSTON SALEM
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State | NC
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Zip | 27103-3013
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Country | US
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Telephone | 336-277-5110
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Fax |
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Provider Business Mailing Address
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Address Line | 316 SPRINGWATER CT
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City | WINSTON SALEM
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State | NC
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Zip | 27106-4487
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 0070-00458
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License Number State | NC
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