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General NPI Number Information
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NPI Number | 1114204559
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Entity Type | Individual
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Provider Name | SAMINA DOLAN
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Gender | Female
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Dates
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Enumeration Date | 11/14/2011
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Last Update Date | 07/02/2013
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Provider Practice Location Address
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Address Line | 7235 BELL CREEK RD
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-3541
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Country | US
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Telephone | 804-559-8831
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Fax |
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Provider Business Mailing Address
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Address Line | 12200 CHATTANOOGA PLZ
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-4865
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Country | US
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Telephone | 804-744-8975
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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 | 0202009701
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License Number State | VA
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