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General NPI Number Information
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NPI Number | 1801750716
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Entity Type | Individual
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Provider Name | SUSAN LECLAIR RPH
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Gender | Female
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 370 E MAIN ST STE 160
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City | CARRBORO
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State | NC
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Zip | 27510-1866
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Country | US
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Telephone | 919-240-7827
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Fax |
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Provider Business Mailing Address
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Address Line | 1117 HUNTSMAN DR
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City | DURHAM
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State | NC
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Zip | 27713-2370
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Country | US
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Telephone | 919-306-2512
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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 | 12196
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License Number State | NC
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