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General NPI Number Information
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NPI Number | 1902182363
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Entity Type | Organization
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Legal Business Name | PIEDMONT PHARMACEUTICAL CARE NETWORK
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Dates
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Enumeration Date | 10/31/2011
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Last Update Date | 07/18/2022
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Provider Practice Location Address
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Address Line | 2006 NORTH CHURCH STREET
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City | GREENSBORO
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State | NC
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Zip | 27405
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Country | US
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Telephone | 336-899-8475
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Fax | 866-982-6090
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Provider Business Mailing Address
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Address Line | 2006 NORTH CHURCH STREET
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City | GREENSBORO
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State | NC
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Zip | 27405
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Country | US
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Telephone | 336-899-8476
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Fax | 866-982-6090
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LARRY S LONG
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Credential | RPH
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Telephone | 336-202-7146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number |
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License Number State |
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