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General NPI Number Information
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NPI Number | 1962426916
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Entity Type | Individual
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Provider Name | LESLEY FOSS KING RPH
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 306 N QUEEN ST
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City | KINSTON
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State | NC
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Zip | 28501-4932
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Country | US
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Telephone | 252-527-1593
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Fax |
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Provider Business Mailing Address
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Address Line | 2172 HARDY BRIDGE RD
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City | LA GRANGE
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State | NC
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Zip | 28551-8260
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Country | US
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Telephone | 252-566-5655
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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 | 13942
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License Number State | NC
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