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General NPI Number Information
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NPI Number | 1104849611
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Entity Type | Individual
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Provider Name | PATRICIA ELAINE GRUNWALD PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 400 W 7TH ST
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City | FREDERICK
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State | MD
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Zip | 21701-4506
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Country | US
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Telephone | 240-566-3797
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Fax | 240-566-3667
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Provider Business Mailing Address
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Address Line | 4617 GRANITE DR
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City | MIDDLETOWN
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State | MD
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Zip | 21769-7422
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Country | US
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Telephone | 301-371-9023
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 10139
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License Number State | MD
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