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General NPI Number Information
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NPI Number | 1962711010
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Entity Type | Individual
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Provider Name | ALEXANDRIA ESTES POWELL PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 10/06/2010
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Last Update Date | 10/06/2010
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Provider Practice Location Address
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Address Line | 298 PERKINS RD SE BLUE RIDGE LONG TERM CARE PHARMACY
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City | VALDESE
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State | NC
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Zip | 28690
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Country | US
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Telephone | 828-580-5460
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 S STERLING ST GRACE HOSPITAL PHARMACY
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City | MORGANTON
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State | NC
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Zip | 28655
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Country | US
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Telephone | 828-580-5450
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Fax | 828-580-5469
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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 | 9393
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | 9393
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License Number State | NC
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