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General NPI Number Information
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NPI Number | 1487680104
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Entity Type | Organization
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Legal Business Name | SEQUON INC
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1595 OPOSSUMTOWN PIKE
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City | FREDERICK
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State | MD
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Zip | 21702-4673
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Country | US
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Telephone | 301-624-4008
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Fax | 301-624-4009
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Provider Business Mailing Address
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Address Line | PO BOX 453
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City | STEVENSON
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State | MD
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Zip | 21153-0453
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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 | JOEL FELDMAN
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Credential |
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Telephone | 410-292-3730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PO4164
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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