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General NPI Number Information
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NPI Number | 1740759778
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Entity Type | Individual
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Provider Name | ROSE-KARYL ESUNG ALOBWEDE
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Gender | Female
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Dates
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Enumeration Date | 11/20/2018
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Last Update Date | 11/20/2018
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Provider Practice Location Address
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Address Line | 2201 N HERRITAGE ST
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City | KINSTON
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State | NC
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Zip | 28501-2223
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Country | US
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Telephone | 252-522-4902
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Fax |
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Provider Business Mailing Address
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Address Line | 128 BILLSDALE RD
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City | IRMO
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State | SC
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Zip | 29063-2168
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Country | US
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Telephone | 980-365-3826
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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