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General NPI Number Information
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NPI Number | 1245453927
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Entity Type | Individual
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Provider Name | PAMELA SUE WEBSTER D.C.
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Gender | Female
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9519 SWEET GRASS RDG
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City | COLUMBIA
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State | MD
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Zip | 21046-2066
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Country | US
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Telephone | 301-725-6206
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 281
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City | SAVAGE
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State | MD
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Zip | 20763-0281
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Country | US
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Telephone | 301-725-6206
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | S01476
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License Number State | MD
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