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General NPI Number Information
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NPI Number | 1194314179
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Entity Type | Individual
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Provider Name | ROSEVELYN NSIAH-ABABIO PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/13/2021
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Last Update Date | 01/13/2021
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Provider Practice Location Address
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Address Line | 345 SAINT PAUL ST
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City | BALTIMORE
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State | MD
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Zip | 21202-2123
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Country | US
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Telephone | 410-332-9630
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Fax |
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Provider Business Mailing Address
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Address Line | 4472 REGALWOOD TER
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City | BURTONSVILLE
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State | MD
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Zip | 20866-2226
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Country | US
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Telephone | 202-415-9451
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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 | 19367
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License Number State | MD
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