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General NPI Number Information
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NPI Number | 1336325000
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Entity Type | Individual
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Provider Name | REBECCA L FRY RPH (BS)
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Gender | Female
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Dates
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Enumeration Date | 01/12/2008
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Last Update Date | 04/29/2010
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Provider Practice Location Address
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Address Line | 15 W BEL AIR AVE
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City | ABERDEEN
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State | MD
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Zip | 21001-3234
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Country | US
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Telephone | 410-534-8656
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Fax | 410-272-1122
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Provider Business Mailing Address
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Address Line | 419 GRANVILLE CT
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City | HAVRE DE GRACE
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State | MD
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Zip | 21078-2575
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Country | US
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Telephone | 443-691-2435
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 15016
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License Number State | MD
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