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General NPI Number Information
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NPI Number | 1891219291
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Entity Type | Individual
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Provider Name | ANNE BROOKES POWELL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/28/2017
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Last Update Date | 07/28/2017
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Provider Practice Location Address
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Address Line | 4305 NC HIGHWAY 49 S
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City | HARRISBURG
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State | NC
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Zip | 28075-7528
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Country | US
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Telephone | 704-454-5920
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Fax |
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Provider Business Mailing Address
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Address Line | 1412 MAINLINE BLVD APT 13106
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City | CHARLOTTE
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State | NC
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Zip | 28203-0527
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Country | US
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Telephone |
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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 | 27251
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License Number State | NC
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