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General NPI Number Information
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NPI Number | 1356493134
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Entity Type | Individual
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Provider Name | FRANKLIN DOLAN EDWARDS R.PH
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Gender | Male
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 102 COMMERCE STREET
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City | CENTREVILLE
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State | MD
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Zip | 21617
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Country | US
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Telephone | 410-758-1715
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Fax | 410-758-1714
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Provider Business Mailing Address
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Address Line | 210 BLACK DUCK DR.
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City | CENTREVILLE
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State | MD
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Zip | 21617
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Country | US
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Telephone | 410-758-3274
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Fax | 410-758-1714
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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 | 11752
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License Number State | MD
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