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General NPI Number Information
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NPI Number | 1508309253
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Entity Type | Organization
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Legal Business Name | JOEDAT INTERNATIONAL INC
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Dates
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Enumeration Date | 11/29/2016
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 1516 N CAPITOL ST NW
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City | WASHINGTON
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State | DC
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Zip | 20002-3344
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Country | US
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Telephone | 202-241-1491
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Fax | 202-299-0565
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Provider Business Mailing Address
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Address Line | 2205 DILORETA DR
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City | WOODBRIDGE
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State | VA
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Zip | 22191-4139
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Country | US
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Telephone | 571-309-2816
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Fax | 202-299-0565
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Authorized Official
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Title or Position | PHARMACIST
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Name | JOHN FORSON
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Credential | PHARM. D
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Telephone | 571-309-2816
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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 |
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License Number State |
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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 | RX0000110
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License Number State | DC
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