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General NPI Number Information
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NPI Number | 1255857124
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Entity Type | Individual
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Provider Name | ALLEN BEARD RPH
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Gender | Male
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Dates
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Enumeration Date | 08/22/2017
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Last Update Date | 03/20/2020
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Provider Practice Location Address
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Address Line | 739 PARK ST
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City | CUMBERLAND
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State | MD
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Zip | 21502-3172
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Country | US
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Telephone | 301-777-7670
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Fax |
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Provider Business Mailing Address
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Address Line | 8426 MAPLEVILLE RD
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City | BOONSBORO
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State | MD
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Zip | 21713-1816
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Country | US
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Telephone |
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 25203
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License Number State | MD
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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 | 25203
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License Number State | MD
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