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General NPI Number Information
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NPI Number | 1225123847
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Entity Type | Individual
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Provider Name | BRENDA EARLEY RPH
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 11/01/2011
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Provider Practice Location Address
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Address Line | 2576 GAYTON CENTRE DR FAMILY CARE PHARMACY
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City | RICHMOND
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State | VA
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Zip | 23238-6912
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Country | US
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Telephone | 804-740-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 13713 SWIFTROCK RIDGE DR
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City | CHESTERFIELD
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State | VA
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Zip | 23838-8738
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Country | US
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Telephone | 804-778-7233
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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 | 0202005470
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License Number State | VA
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