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General NPI Number Information
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NPI Number | 1831593615
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Entity Type | Individual
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Provider Name | JOSEPHINE LOVELACE POLHEMUS RPH
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Gender | Female
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Dates
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Enumeration Date | 10/22/2014
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Last Update Date | 10/22/2014
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Provider Practice Location Address
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Address Line | 12TH AVENUE NE
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City | HICKORY
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State | NC
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Zip | 28601
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Country | US
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Telephone | 401-665-9765
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Fax | 401-652-0281
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Provider Business Mailing Address
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Address Line | 813 FORESTBROOK DR
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City | GASTONIA
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State | NC
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Zip | 28056-7077
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Country | US
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Telephone | 704-678-7215
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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 | 9431
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 7349
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License Number State | SC
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