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General NPI Number Information
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NPI Number | 1275923831
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Entity Type | Individual
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Provider Name | SHEILA BRANCH
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Gender | Female
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Dates
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Enumeration Date | 02/03/2015
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Last Update Date | 02/03/2015
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Provider Practice Location Address
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Address Line | 721 SOUTHPARK BLVD
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-3606
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Country | US
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Telephone | 804-520-2280
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Fax | 804-431-3211
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Provider Business Mailing Address
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Address Line | 19504 TEMPLE AVE
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City | SOUTH CHESTERFIELD
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State | VA
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Zip | 23834-5665
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Country | US
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Telephone | 804-520-8702
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Fax | 804-431-3211
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 0230005464
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License Number State | VA
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