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General NPI Number Information
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NPI Number | 1023408853
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Entity Type | Individual
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Provider Name | MISS PAMELA SUE FARMER
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Gender | Female
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Dates
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Enumeration Date | 02/02/2015
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Last Update Date | 02/02/2015
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Provider Practice Location Address
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Address Line | 4824 HUSTLE RD
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City | CARET
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State | VA
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Zip | 22436-2209
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Country | US
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Telephone | 804-445-6399
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Fax |
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Provider Business Mailing Address
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Address Line | 4824 HUSTLE ROAD
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City | CARET
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State | VA
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Zip | 22436
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Country | US
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Telephone | 804-445-6399
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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 | 0230021419
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License Number State | VA
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