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General NPI Number Information
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NPI Number | 1508155086
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Entity Type | Individual
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Provider Name | DEBRA JO LOVING RPH
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Gender | Female
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Dates
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Enumeration Date | 04/05/2011
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Last Update Date | 04/05/2011
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Provider Practice Location Address
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Address Line | 609 E MAIN ST
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City | PURCELLVILLE
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State | VA
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Zip | 20132-4500
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Country | US
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Telephone | 540-338-4195
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Fax |
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Provider Business Mailing Address
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Address Line | 17801 SANDS RD
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City | HAMILTON
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State | VA
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Zip | 20158-3439
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Country | US
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Telephone | 540-338-5696
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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 | 0202010846
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License Number State | VA
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