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General NPI Number Information
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NPI Number | 1093850232
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Entity Type | Organization
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Legal Business Name | PATIENT FIRST
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 09/19/2007
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Provider Practice Location Address
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Address Line | 611 DENBIGH BLVD PATIENT FIRST
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City | NEWPORT NEWS
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State | VA
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Zip | 23608
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Country | US
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Telephone | 757-283-8300
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Fax | 757-283-8301
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Provider Business Mailing Address
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Address Line | 5000 COX RD STE 100
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City | GLEN ALLEN
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State | VA
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Zip | 23060-9263
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY SERVICES
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Name | MARVIN BRIDGERS
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Credential | RPH
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Telephone | 804-968-5700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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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 | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 0213000985
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License Number State | VA
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