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General NPI Number Information
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NPI Number | 1225449390
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Entity Type | Individual
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Provider Name | GRACE L CHAO PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 05/12/2014
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Last Update Date | 05/12/2014
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Provider Practice Location Address
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Address Line | 10101 RIVER RD
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City | POTOMAC
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State | MD
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Zip | 20854-4904
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Country | US
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Telephone | 301-983-4890
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Fax |
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Provider Business Mailing Address
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Address Line | 19308 CIRCLE GATE DR APT 302
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City | GERMANTOWN
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State | MD
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Zip | 20874-5227
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Country | US
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Telephone | 646-733-6282
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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 | 22338
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License Number State | MD
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