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General NPI Number Information
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NPI Number | 1780969402
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Entity Type | Individual
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Provider Name | CHRISTOPEHR R DION RPH
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Gender | Male
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Dates
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Enumeration Date | 10/13/2011
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Last Update Date | 10/13/2011
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Provider Practice Location Address
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Address Line | 5455 POTTERS RD
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City | STALLINGS
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State | NC
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Zip | 28104-5990
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Country | US
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Telephone | 704-821-0411
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Fax |
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Provider Business Mailing Address
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Address Line | 1225 WAYNEWOOD DR
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City | WAXHAW
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State | NC
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Zip | 28173-7947
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Country | US
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Telephone | 704-668-8559
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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 | 15759
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License Number State | NC
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