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NPI 1710360409

NPI 1710360409 : DAVID BRILL RPH : CARTHAGE, NC

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General NPI Number Information
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    NPI Number           |    1710360409
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID BRILL RPH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/30/2015
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    Last Update Date     |    06/30/2015
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Provider Practice Location Address
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    Address Line         |    7475 NORTH CAROLINA HIGHWAY 22 
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    City                 |    CARTHAGE
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    State                |    NC
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    Zip                  |    28327
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    Country              |    US
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    Telephone            |    910-949-2071
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    Fax                  |    910-949-2064
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Provider Business Mailing Address
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    Address Line         |    7475 NORTH CAROLINA HIGHWAY 22 
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    City                 |    CARTHAGE
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    State                |    NC
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    Zip                  |    28327
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    Country              |    US
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    Telephone            |    910-949-2071
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    Fax                  |    910-949-2064
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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       |    14235
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    License Number State |    NC
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