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General NPI Number Information
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NPI Number | 1730515297
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Entity Type | Individual
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Provider Name | JESSICA MARI DOBBINS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/16/2013
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Last Update Date | 12/28/2015
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Provider Practice Location Address
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Address Line | 5455 POTTER RD
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City | STALLINGS
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State | NC
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Zip | 28104-5990
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Country | US
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Telephone | 704-821-0411
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Fax | 704-821-0495
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Provider Business Mailing Address
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Address Line | 5455 POTTER RD
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City | STALLINGS
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State | NC
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Zip | 28104-5990
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Country | US
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Telephone | 704-821-0411
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Fax | 704-821-0495
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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 | 23472
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License Number State | NC
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