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General NPI Number Information
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NPI Number | 1215673546
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Entity Type | Individual
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Provider Name | JISZARRA AWKWARD
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Gender | Female
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Dates
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Enumeration Date | 05/10/2022
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Last Update Date | 05/10/2022
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Provider Practice Location Address
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Address Line | 20995 POINT LOOKOUT RD
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City | CALLAWAY
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State | MD
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Zip | 20620-2347
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Country | US
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Telephone | 301-994-1099
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Fax | 301-994-1108
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Provider Business Mailing Address
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Address Line | 20995 POINT LOOKOUT RD
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City | CALLAWAY
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State | MD
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Zip | 20620-2347
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Country | US
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Telephone | 301-994-1099
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Fax | 301-994-1108
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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 | T24196
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License Number State | MD
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