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General NPI Number Information
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NPI Number | 1750378642
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Entity Type | Individual
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Provider Name | GRETCHEN FERRELL JENKINS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/05/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1219 BUCK JONES RD
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City | RALEIGH
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State | NC
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Zip | 27606-3326
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Country | US
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Telephone | 180-049-4305
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Fax |
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Provider Business Mailing Address
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Address Line | 211 CHAPEL VALLEY LN
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City | APEX
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State | NC
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Zip | 27502-4674
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Country | US
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Telephone | 919-387-6023
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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 | 16480
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License Number State | NC
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