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General NPI Number Information
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NPI Number | 1417714767
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Entity Type | Organization
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Legal Business Name | ALLIED PHARMACY TECHNICIAN TRAINING PROGRAM LLC
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Dates
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Enumeration Date | 03/04/2024
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 2105 E PARHAM RD STE 108
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City | HENRICO
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State | VA
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Zip | 23228-2236
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Country | US
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Telephone | 804-534-4825
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Fax |
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Provider Business Mailing Address
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Address Line | 2105 E PARHAM RD STE 108
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City | HENRICO
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State | VA
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Zip | 23228-2236
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHAUNTA HENDERSON
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Credential |
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Telephone | 804-534-4825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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