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NPI 1962937649

NPI 1962937649 : CRISTINA REYES PATILLE PHARMD, BCPS, CPP : GREENSBORO, NC

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General NPI Number Information
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    NPI Number           |    1962937649
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    Entity Type          |    Individual 
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    Provider Name        |    CRISTINA REYES PATILLE PHARMD, BCPS, CPP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/01/2017
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    Last Update Date     |    01/07/2025
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Provider Practice Location Address
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    Address Line         |    709 GREEN VALLEY RD 
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27408-7019
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    Country              |    US
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    Telephone            |    336-832-8138
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    Fax                  |    336-547-1769
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Provider Business Mailing Address
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    Address Line         |    709 GREEN VALLEY RD 
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27408-7019
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    Country              |    US
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    Telephone            |    336-832-8138
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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        |    1835P2201X
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    Taxonomy Name        |    Ambulatory Care Pharmacist
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    License Number       |    25996
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    License Number State |    NC
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