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General NPI Number Information
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NPI Number | 1841011160
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Entity Type | Individual
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Provider Name | VANTONILE VIEN LAFFEY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/19/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 9820 CALLABRIDGE CT
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City | CHARLOTTE
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State | NC
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Zip | 28216-7669
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Country | US
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Telephone | 704-392-3131
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Fax | 704-392-3484
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Provider Business Mailing Address
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Address Line | 5075 MOORELAND OAKS WAY
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City | MOUNT HOLLY
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State | NC
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Zip | 28120-1039
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Country | US
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Telephone | 717-315-6103
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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 | 24211
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License Number State | NC
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