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General NPI Number Information
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NPI Number | 1942755715
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Entity Type | Individual
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Provider Name | NICOLE TWELE PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 08/22/2016
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Last Update Date | 08/22/2016
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Provider Practice Location Address
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Address Line | 2002 SHILOH CHURCH RD
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City | DAVIDSON
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State | NC
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Zip | 28036-9550
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Country | US
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Telephone | 704-439-3460
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Fax |
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Provider Business Mailing Address
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Address Line | 2717 SMITH FIELD DR
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City | MONROE
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State | NC
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Zip | 28110-7742
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Country | US
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Telephone | 443-286-7857
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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 | 26455
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License Number State | NC
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