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General NPI Number Information
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NPI Number | 1912128281
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Entity Type | Individual
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Provider Name | ANITA GROVES MCALLISTER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 11/13/2022
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Provider Practice Location Address
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Address Line | 743 BERRY PATCH LN
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City | PITTSBORO
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State | NC
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Zip | 27312-0796
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Country | US
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Telephone | 919-357-6357
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Fax |
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Provider Business Mailing Address
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Address Line | 743 BERRY PATCH LN
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City | PITTSBORO
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State | NC
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Zip | 27312-0796
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Country | US
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Telephone | 919-357-6357
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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 | 06709
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 18187
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License Number State | NC
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