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General NPI Number Information
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NPI Number | 1962000711
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Entity Type | Individual
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Provider Name | TRAVIS WEBSTER
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Gender | Male
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Dates
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Enumeration Date | 10/14/2020
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Last Update Date | 10/14/2020
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Provider Practice Location Address
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Address Line | 2838 WAKE FOREST RD
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City | RALEIGH
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State | NC
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Zip | 27609-7840
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Country | US
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Telephone | 919-755-2810
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Fax | 919-755-2807
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Provider Business Mailing Address
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Address Line | 467 CHATHAM DR
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City | CHAPEL HILL
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State | NC
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Zip | 27516-8691
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Country | US
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Telephone | 919-260-6634
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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 | 30061
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License Number State | NC
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