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General NPI Number Information
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NPI Number | 1801192224
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Entity Type | Individual
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Provider Name | DIANE SUSAN HOLCHIN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 02/02/2011
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Last Update Date | 02/02/2011
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Provider Practice Location Address
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Address Line | 240 SPARTA RD
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City | NORTH WILKESBORO
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State | NC
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Zip | 28659-3122
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Country | US
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Telephone | 336-667-0900
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Fax | 336-667-5884
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Provider Business Mailing Address
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Address Line | 1860 ROCKY FACE CHURCH RD
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City | TAYLORSVILLE
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State | NC
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Zip | 28681-3939
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Country | US
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Telephone | 828-455-0996
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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 | 18085
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License Number State | NC
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