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General NPI Number Information
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NPI Number | 1871214221
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Entity Type | Individual
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Provider Name | HOLLI DAWN OVERCASH PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/05/2022
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Last Update Date | 09/05/2022
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Provider Practice Location Address
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Address Line | 1113 N MAIN ST
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City | KANNAPOLIS
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State | NC
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Zip | 28081-2256
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Country | US
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Telephone | 704-932-9111
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Fax |
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Provider Business Mailing Address
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Address Line | 1090 EBENEZER RD
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City | KANNAPOLIS
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State | NC
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Zip | 28083-9186
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Country | US
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Telephone | 704-960-3179
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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 | 31636
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License Number State | NC
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