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General NPI Number Information
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NPI Number | 1720074776
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Entity Type | Individual
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Provider Name | BRYAN D. MONROE RPH
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Gender | Male
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Dates
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Enumeration Date | 09/26/2005
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 100 SOUTHCENTER CT STE 100
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City | MORRISVILLE
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State | NC
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Zip | 27560-9125
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Country | US
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Telephone | 919-268-1476
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Fax |
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Provider Business Mailing Address
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Address Line | 12209 KAYSMOUNT CT
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City | RALEIGH
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State | NC
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Zip | 27614-6936
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Country | US
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Telephone | 919-570-0610
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Fax | 919-603-5384
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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 | 13972
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License Number State | NC
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