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General NPI Number Information
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NPI Number | 1518042878
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Entity Type | Organization
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Legal Business Name | CULPEPER PHARMACY LLC
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 12/11/2013
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Provider Practice Location Address
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Address Line | 251 SOUTHGATE SHOPPING CTR
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City | CULPEPER
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State | VA
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Zip | 22701-3833
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Country | US
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Telephone | 540-825-7576
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Fax | 540-825-5822
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Provider Business Mailing Address
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Address Line | 251 SOUTHGATE SHOPPING CTR
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City | CULPEPER
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State | VA
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Zip | 22701-3833
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Country | US
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Telephone | 540-825-7576
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Fax | 540-825-5822
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Authorized Official
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Title or Position | MANAGER
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Name | MR. HERBERT RONALD RANKIN
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Credential |
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Telephone | 540-825-7576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0201-003842
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License Number State | VA
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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 | 0201-003842
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 0206009746
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0206009746
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License Number State | VA
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