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General NPI Number Information
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NPI Number | 1770953648
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Entity Type | Individual
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Provider Name | DANIEL BERNARD SEAVERS PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/05/2015
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Last Update Date | 10/05/2015
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Provider Practice Location Address
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Address Line | 5100 BEATTIES FORD RD
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City | CHARLOTTE
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State | NC
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Zip | 28216-2357
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Country | US
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Telephone | 704-391-9341
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Fax | 704-399-9409
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Provider Business Mailing Address
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Address Line | 6207 HALF DOME DR
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City | CHARLOTTE
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State | NC
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Zip | 28269-1548
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Country | US
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Telephone | 704-965-3963
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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 | 13580
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License Number State | NC
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