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General NPI Number Information
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NPI Number | 1447894928
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Entity Type | Organization
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Legal Business Name | VACCINE VALET LLC
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Dates
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Enumeration Date | 10/29/2019
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Last Update Date | 10/07/2021
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Provider Practice Location Address
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Address Line | 4800 HAMPDEN LN STE 214
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City | BETHESDA
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State | MD
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Zip | 20814-2930
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Country | US
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Telephone | 240-277-4892
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 15213
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City | CHEVY CHASE
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State | MD
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Zip | 20825-5213
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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 | MANAGER
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Name | EMILY SHEWMAKER
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Credential | PHARM.D
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Telephone | 240-277-4892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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