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General NPI Number Information
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NPI Number | 1306477591
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Entity Type | Individual
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Provider Name | DAVID GARRISON
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Gender | Male
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Dates
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Enumeration Date | 01/28/2020
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Last Update Date | 01/28/2020
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Provider Practice Location Address
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Address Line | 1464 MOUNT PLEASANT RD
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City | CHESAPEAKE
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State | VA
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Zip | 23322-4043
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Country | US
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Telephone | 757-217-4036
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Fax | 757-217-4039
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Provider Business Mailing Address
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Address Line | 3419 VIRGINIA BEACH BLVD # 174
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-4419
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Country | US
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Telephone | 757-650-5584
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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 | 0202009385
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License Number State | VA
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