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General NPI Number Information
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NPI Number | 1861677577
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Entity Type | Individual
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Provider Name | DAVID SPENCER LINE PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 01/02/2008
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Last Update Date | 01/02/2008
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Provider Practice Location Address
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Address Line | 625 HARPER AVE SW
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City | LENOIR
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State | NC
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Zip | 28645-5250
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Country | US
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Telephone | 828-758-8932
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Fax | 828-754-4530
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Provider Business Mailing Address
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Address Line | 2069 21ST ST SE APT O
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City | HICKORY
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State | NC
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Zip | 28602-3482
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Country | US
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Telephone | 704-219-6918
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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 | 19107
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License Number State | NC
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