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General NPI Number Information
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NPI Number | 1164029856
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Entity Type | Individual
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Provider Name | RAGHDA ALBARRAK
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Gender | Female
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Dates
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Enumeration Date | 10/06/2020
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Last Update Date | 10/31/2020
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Provider Practice Location Address
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Address Line | 6636 RITCHIE HWY
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City | GLEN BURNIE
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State | MD
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Zip | 21061-2317
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Country | US
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Telephone | 410-487-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 9106 SEWARD ST
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City | FREDERICK
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State | MD
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Zip | 21704-7921
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Country | US
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Telephone | 517-505-2592
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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 | 26235
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License Number State | MD
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