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General NPI Number Information
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NPI Number | 1194313916
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Entity Type | Individual
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Provider Name | LINDA MARIE MATHERS RPH
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Gender | Female
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Dates
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Enumeration Date | 01/07/2021
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Last Update Date | 01/07/2021
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Provider Practice Location Address
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Address Line | 3120 ERDMAN AVE
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City | BALTIMORE
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State | MD
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Zip | 21213-1720
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Country | US
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Telephone | 443-703-3683
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Fax | 410-534-0143
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Provider Business Mailing Address
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Address Line | 2463 SOPHIA CHASE DR
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City | MARRIOTTSVILLE
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State | MD
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Zip | 21104-1496
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Country | US
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Telephone | 410-241-0361
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Fax | 410-534-0143
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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 | 10261
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License Number State | MD
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