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NPI 1962782409

NPI 1962782409 : ELIZABETH L ALFORD : WAKE FOREST, NC

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General NPI Number Information
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    NPI Number           |    1962782409
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    Entity Type          |    Individual 
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    Provider Name        |    ELIZABETH L ALFORD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/27/2011
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    Last Update Date     |    08/27/2011
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Provider Practice Location Address
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    Address Line         |    3113 ROGERS RD SUITE 100
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    City                 |    WAKE FOREST
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    State                |    NC
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    Zip                  |    27587-3803
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    Country              |    US
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    Telephone            |    919-554-2699
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1927 HIGH HOLLY LN 
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    City                 |    RALEIGH
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    State                |    NC
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    Zip                  |    27614-7796
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    Country              |    US
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    Telephone            |    
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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        |    183700000X
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    Taxonomy Name        |    Pharmacy Technician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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