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General NPI Number Information
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NPI Number | 1013933969
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Entity Type | Organization
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Legal Business Name | LLODNA INCORPORATED
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 09/20/2012
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Provider Practice Location Address
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Address Line | 1700 EDMONDSON AVE
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City | BALTIMORE
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State | MD
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Zip | 21223-1212
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Country | US
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Telephone | 410-523-5900
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Fax | 410-523-5939
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Provider Business Mailing Address
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Address Line | 16 KIMBERLYS CT
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City | BALTIMORE
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State | MD
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Zip | 21244-4007
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Country | US
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Telephone | 410-523-5900
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Fax | 410-523-5939
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Authorized Official
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Title or Position | PHARMACIST
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Name | MICHELLE ANDOLL
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Credential | PHARMACIST
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Telephone | 410-523-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P04454
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License Number State | MD
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