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General NPI Number Information
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NPI Number | 1902331077
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Entity Type | Individual
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Provider Name | TYLER CATESBY SHERROD PHARMD
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Gender | Male
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Dates
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Enumeration Date | 04/26/2017
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Last Update Date | 07/05/2017
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Provider Practice Location Address
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Address Line | 8651 BRIER CREEK PKWY
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City | RALEIGH
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State | NC
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Zip | 27617-7325
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Country | US
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Telephone | 850-294-7231
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Fax |
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Provider Business Mailing Address
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Address Line | 143 W FRANKLIN ST. STE 120
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City | CHAPEL HILL
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State | NC
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Zip | 27516
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Country | US
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Telephone | 919-929-1309
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Fax | 919-929-1360
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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 | 26626
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License Number State | NC
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