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General NPI Number Information
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NPI Number | 1902841133
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Entity Type | Organization
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Legal Business Name | MEASURED DOSE PHARMACY INC
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 12/07/2015
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Provider Practice Location Address
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Address Line | 750 4TH ST SW STE B
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City | HICKORY
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State | NC
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Zip | 28602-3401
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Country | US
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Telephone | 828-322-9365
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Fax | 828-322-7299
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Provider Business Mailing Address
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Address Line | 750 4TH ST SW
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City | HICKORY
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State | NC
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Zip | 28602-3401
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Country | US
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Telephone | 828-322-9365
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Fax | 828-322-7299
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM MIXON
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Credential | RPH MS
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Telephone | 828-322-9365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 06456
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License Number State | NC
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