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General NPI Number Information
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NPI Number | 1912729807
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Entity Type | Individual
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Provider Name | CANDICE ALLEN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 1361 MIFFLIN LN
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City | DALLAS
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State | NC
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Zip | 28034-9654
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Country | US
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Telephone | 810-701-9878
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Fax |
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Provider Business Mailing Address
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Address Line | 171 FAIRVIEW RD
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City | MOORESVILLE
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State | NC
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Zip | 28117-9500
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Country | US
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Telephone | 704-660-4000
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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 | 33462
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License Number State | NC
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