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General NPI Number Information
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NPI Number | 1962778894
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Entity Type | Individual
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Provider Name | BILLY JOEL KING D.PH
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Gender | Male
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Dates
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Enumeration Date | 03/26/2012
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 110 PARK AVE
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City | BANNER ELK
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State | NC
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Zip | 28604-6604
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Country | US
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Telephone | 828-898-4271
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Fax | 828-898-6761
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Provider Business Mailing Address
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Address Line | 4229 N US 19E HWY
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City | NEWLAND
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State | NC
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Zip | 28657-9495
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Country | US
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Telephone | 828-221-0174
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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 | 36128
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 22329
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License Number State | NC
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