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General NPI Number Information
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NPI Number | 1477872414
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Entity Type | Individual
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Provider Name | KAREN R FORD
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Gender | Female
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Dates
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Enumeration Date | 05/28/2010
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Last Update Date | 07/17/2010
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Provider Practice Location Address
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Address Line | 4501 NEWS RD
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-7803
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Country | US
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Telephone | 757-220-1287
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Fax |
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Provider Business Mailing Address
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Address Line | 656 ROCKFORD RD
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City | MANAKIN SABOT
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State | VA
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Zip | 23103-2128
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Country | US
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Telephone | 804-366-0276
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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 | 0202209961
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License Number State | VA
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