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General NPI Number Information
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NPI Number | 1770916439
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Entity Type | Individual
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Provider Name | DAVID HANCOCK PHARM D
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Gender | Male
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Dates
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Enumeration Date | 08/16/2013
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Last Update Date | 08/16/2013
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Provider Practice Location Address
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Address Line | 3300 RAMSEY ST
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-7624
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Country | US
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Telephone | 724-272-3521
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Fax |
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Provider Business Mailing Address
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Address Line | 2015 GUM BRANCH RD APT 208
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City | JACKSONVILLE
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State | NC
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Zip | 28540-4583
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Country | US
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Telephone | 724-272-3521
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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 | 23728
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License Number State | NC
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