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General NPI Number Information
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NPI Number | 1215980578
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Entity Type | Individual
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Provider Name | CRAIG ANDREW MINER R.PH., J.D.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 10/26/2008
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Provider Practice Location Address
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Address Line | 7500 SECURITY BLVD
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City | BALTIMORE
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State | MD
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Zip | 21244-1849
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Country | US
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Telephone | 410-786-7937
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Fax |
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Provider Business Mailing Address
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Address Line | 5789 VICTOR DR
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City | ELDERSBURG
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State | MD
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Zip | 21784-8920
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Country | US
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Telephone | 410-552-1033
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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 | 20806
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 45923
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License Number State | CA
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