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General NPI Number Information
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NPI Number | 1528283314
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Entity Type | Individual
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Provider Name | GLORYERS A HARRIS-DANIELS RPH
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Gender | Female
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5036 FERRELL PKWY
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-8867
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Country | US
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Telephone | 757-495-3088
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Fax | 757-495-6581
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Provider Business Mailing Address
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Address Line | 2901 BALD EAGLE BND
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City | VIRGINIA BEACH
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State | VA
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Zip | 23453-7067
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Country | US
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Telephone | 757-377-1176
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Fax | 757-368-0667
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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 | 02029547
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License Number State | VA
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