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General NPI Number Information
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NPI Number | 1730871617
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Entity Type | Individual
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Provider Name | COLSTON ROBERT ABERNATHY PHARMD
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Gender | Male
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 513 BRENTWOOD RD
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City | DENVER
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State | NC
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Zip | 28037
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Country | US
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Telephone | 704-483-7152
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Fax |
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Provider Business Mailing Address
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Address Line | 2646 MEADOW ST
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City | GASTONIA
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State | NC
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Zip | 28056-6392
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Country | US
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Telephone | 503-747-8825
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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 | 31954
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License Number State | NC
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