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General NPI Number Information
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NPI Number | 1336451061
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Entity Type | Individual
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Provider Name | JONI MARIE LARRABEE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/10/2010
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Last Update Date | 10/18/2017
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Provider Practice Location Address
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Address Line | 2480 LLEWELLYN AVENUE, KIMBROUGH AMBULATORY CARE CENTER ST 5800
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City | FT. GEORGE G. MEADE
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State | MD
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Zip | 20755-5800
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Country | US
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Telephone | 301-677-8486
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Fax |
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Provider Business Mailing Address
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Address Line | 2480 LLEWELLYN AVENUE KIMBROUGH AMBULATORY CARE CENTER
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City | FT GEORGE G. MEADE
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State | MD
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Zip | 20755
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Country | US
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Telephone | 301-677-8496
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Fax | 301-677-8176
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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 | 19192
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License Number State | MD
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Taxonomy #2
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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 | 19192
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License Number State | MD
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