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General NPI Number Information
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NPI Number | 1013087931
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Entity Type | Individual
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Provider Name | BRANDY MICHELLE BOND PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 40 WATKINS ST
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City | NELSONVILLE
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State | OH
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Zip | 45764-1452
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Country | US
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Telephone | 740-753-2484
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Fax | 740-753-4185
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Provider Business Mailing Address
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Address Line | 1202 16TH ST
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City | VIENNA
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State | WV
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Zip | 26105-1046
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Country | US
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Telephone | 304-295-7356
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Fax | 304-863-8813
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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 | RP0006577
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License Number State | WV
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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 | 03-2-26451
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License Number State | OH
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