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General NPI Number Information
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NPI Number | 1053939413
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Entity Type | Individual
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Provider Name | BLAINE THOMAS REAMS PHARMD
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Gender | Male
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Dates
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Enumeration Date | 07/10/2020
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Last Update Date | 07/10/2020
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Provider Practice Location Address
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Address Line | 4119 BOONSBORO RD
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City | LYNCHBURG
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State | VA
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Zip | 24503-2340
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Country | US
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Telephone | 434-384-3666
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Fax |
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Provider Business Mailing Address
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Address Line | 94 ROWSE DR
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City | LYNCHBURG
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State | VA
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Zip | 24502-4062
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Country | US
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Telephone | 540-915-2873
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202218761
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License Number State | VA
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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 | 21399
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License Number State | AL
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