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General NPI Number Information
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NPI Number | 1477181949
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Entity Type | Individual
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Provider Name | MS. TEKIA EDWARDS
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Gender | Female
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Dates
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Enumeration Date | 03/31/2020
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Last Update Date | 03/31/2020
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Provider Practice Location Address
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Address Line | 6501 LOISDALE CT
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City | SPRINGFIELD
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State | VA
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Zip | 22150-1826
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Country | US
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Telephone | 703-922-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 15613 EASTHAVEN CT
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City | BOWIE
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State | MD
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Zip | 20716-2607
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Country | US
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Telephone | 240-381-5025
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number |
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License Number State |
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