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General NPI Number Information
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NPI Number | 1114108909
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Entity Type | Organization
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Legal Business Name | RXTOUR, LLC
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Dates
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Enumeration Date | 11/20/2007
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Last Update Date | 06/12/2009
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Provider Practice Location Address
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Address Line | 2725 WEATHERSTONE DR
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-2370
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Country | US
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Telephone | 443-745-7188
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Fax | 410-465-3676
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Provider Business Mailing Address
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Address Line | 2725 WEATHERSTONE DR
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-2370
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Country | US
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Telephone | 443-745-7188
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Fax | 410-465-3676
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Authorized Official
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Title or Position | CEO/CLINICAL PHARMACIST
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Name | DR. RODNEY H TAYLOR
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Credential | PHARMD
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Telephone | 443-745-7188
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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 | 14602
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License Number State | MD
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