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General NPI Number Information
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NPI Number | 1801413158
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Entity Type | Individual
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Provider Name | ANGELA LASSITER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/02/2020
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 951 ROCKFORD ST
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City | MOUNT AIRY
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State | NC
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Zip | 27030-5323
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Country | US
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Telephone | 336-789-5058
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1490
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City | BOONE
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State | NC
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Zip | 28607-0682
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Country | US
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Telephone | 828-262-3886
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Fax | 828-265-4816
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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 | 29664
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License Number State | NC
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