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NPI 1306363452

NPI 1306363452 : ANDREW DRAPER PHARMD : APO AE, NY

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General NPI Number Information
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    NPI Number           |    1306363452
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    Entity Type          |    Individual 
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    Provider Name        |    ANDREW DRAPER PHARMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/29/2017
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    Last Update Date     |    08/29/2017
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Provider Practice Location Address
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    Address Line         |    BLDG 475 UNIT 28130 
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    City                 |    APO AE
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    State                |    NY
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    Zip                  |    09114
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    Country              |    US
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    Telephone            |    314-590-3183
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    CMR 415 BOX 6214 
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    City                 |    APO
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    State                |    AE
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    Zip                  |    09114-0063
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    Country              |    US
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    Telephone            |    801-349-8397
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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        |    1835P2201X
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    Taxonomy Name        |    Ambulatory Care Pharmacist
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    License Number       |    153033-1701
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    License Number State |    UT
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