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General NPI Number Information
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NPI Number | 1851507438
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Entity Type | Individual
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Provider Name | KEITH ELVIN LAYNE RPH
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Gender | Male
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 509 S VAN BUREN ROAD
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City | EDEN
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State | NC
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Zip | 27288-5018
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Country | US
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Telephone | 336-627-4600
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Fax | 336-627-1399
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Provider Business Mailing Address
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Address Line | 1300 TOWN CREEK ROAD
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City | EDEN
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State | NC
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Zip | 27288
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Country | US
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Telephone | 336-623-8200
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Fax | 336-627-1399
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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 | 10969
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 10969
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License Number State | NC
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