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General NPI Number Information
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NPI Number | 1194027979
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Entity Type | Individual
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Provider Name | JESSICA NICOLE FARMER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/29/2010
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Last Update Date | 11/29/2010
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Provider Practice Location Address
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Address Line | 2801 HICKS RD KROGER PHARMACY
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City | RICHMOND
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State | VA
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Zip | 23235-6337
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Country | US
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Telephone | 804-675-4519
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Fax | 804-675-4528
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Provider Business Mailing Address
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Address Line | 3431 KILBURN CIR APT 523
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City | RICHMOND
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State | VA
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Zip | 23233-1098
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Country | US
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Telephone | 804-338-2718
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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 | 0202208063
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License Number State | VA
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