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General NPI Number Information
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NPI Number | 1356003156
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Entity Type | Individual
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Provider Name | DANG PHAM PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/08/2021
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Last Update Date | 11/04/2021
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Provider Practice Location Address
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Address Line | 801 LANDMARK DR
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City | GLEN BURNIE
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State | MD
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Zip | 21061-4986
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Country | US
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Telephone | 443-281-9157
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Fax |
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Provider Business Mailing Address
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Address Line | 3 KAHL MANOR CT
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City | PERRY HALL
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State | MD
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Zip | 21128-9028
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Country | US
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Telephone | 443-912-6096
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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 | 28278
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License Number State | MD
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