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General NPI Number Information
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NPI Number | 1285180596
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Entity Type | Organization
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Legal Business Name | RITE AID
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Dates
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Enumeration Date | 08/27/2016
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Last Update Date | 08/27/2016
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Provider Practice Location Address
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Address Line | 12154 BRITTINGHAM LN
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City | PRINCESS ANNE
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State | MD
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Zip | 21853-2212
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Country | US
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Telephone | 410-651-3368
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Fax |
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Provider Business Mailing Address
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Address Line | 12154 BRITTINGHAM LN
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City | PRINCESS ANNE
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State | MD
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Zip | 21853-2212
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Country | US
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Telephone | 410-651-3368
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Fax |
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Authorized Official
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Title or Position | PDM
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Name | MONSOOR BEG
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Credential |
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Telephone | 410-804-1688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 23749
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License Number State | MD
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