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General NPI Number Information
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NPI Number | 1902235161
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Entity Type | Individual
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Provider Name | PRECIOUS MICEALA PRINGLE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/07/2013
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 3010 MONROE RD STE 101
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City | CHARLOTTE
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State | NC
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Zip | 28205-7533
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Country | US
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Telephone | 704-496-9182
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Fax | 704-496-9903
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Provider Business Mailing Address
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Address Line | 3400 WYLIE MEADOW LN
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City | CHARLOTTE
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State | NC
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Zip | 28269-7714
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Country | US
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Telephone | 803-983-2754
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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 | 14354
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 25643
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License Number State | NC
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