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General NPI Number Information
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NPI Number | 1780970723
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Entity Type | Individual
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Provider Name | MS. JEANIE LYNN SADLER
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Gender | Female
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Dates
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Enumeration Date | 06/28/2011
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Last Update Date | 11/29/2022
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Provider Practice Location Address
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Address Line | 211 GEORGIA AVE
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City | CAROLINA BEACH
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State | NC
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Zip | 28428-5810
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Country | US
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Telephone | 540-847-7979
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 999
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City | CAROLINA BEACH
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State | NC
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Zip | 28428-0999
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Country | US
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Telephone | 540-847-7979
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 30265
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 0202205078
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License Number State | VA
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