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General NPI Number Information
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NPI Number | 1194030130
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Entity Type | Individual
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Provider Name | WANNEE KUNAPRAYOON B.SC. PHARMACY
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Gender | Female
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Dates
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Enumeration Date | 08/14/2010
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Last Update Date | 08/14/2010
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Provider Practice Location Address
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Address Line | 4214 FRANKFORD AVE
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City | BALTIMORE
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State | MD
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Zip | 21206-5131
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Country | US
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Telephone | 410-488-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 8506 HUNTSPRING DR
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City | LUTHERVILLE
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State | MD
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Zip | 21093-4763
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Country | US
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Telephone | 410-825-2127
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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 | 08858
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License Number State | MD
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