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General NPI Number Information
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NPI Number | 1891083226
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Entity Type | Individual
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Provider Name | RICHARD HOWARD GRAY RPH
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Gender | Male
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Dates
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Enumeration Date | 07/19/2011
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Last Update Date | 07/19/2011
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Provider Practice Location Address
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Address Line | 1316 JOHN SMALL AVE
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City | WASHINGTON
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State | NC
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Zip | 27889-3843
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Country | US
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Telephone | 252-946-1818
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Fax | 252-975-5785
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Provider Business Mailing Address
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Address Line | 1316 JOHN SMALL AVE
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City | WASHINGTON
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State | NC
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Zip | 27889
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Country | US
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Telephone | 252-946-1818
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Fax | 252-975-5785
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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 | 6193
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License Number State | NC
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