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General NPI Number Information
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NPI Number | 1508050998
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Entity Type | Individual
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Provider Name | ROSA E EPHREM PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 10/06/2023
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Provider Practice Location Address
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Address Line | 618 CENTER POINT WAY UNIT 83383
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City | GAITHERSBURG
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State | MD
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Zip | 20883-7516
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Country | US
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Telephone | 301-963-3798
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Fax |
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Provider Business Mailing Address
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Address Line | 618 CENTER POINT WAY UNIT 83383
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City | GAITHERSBURG
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State | MD
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Zip | 20883-7516
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Country | US
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Telephone | 301-963-3798
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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 | 17795
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | 9102586
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License Number State | MD
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