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NPI 1538469606

NPI 1538469606 : MELVIN ANTHONY GEARHART : HANOVER, MD

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General NPI Number Information
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    NPI Number           |    1538469606
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    Entity Type          |    Individual 
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    Provider Name        |    MELVIN ANTHONY GEARHART
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/23/2010
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    Last Update Date     |    10/23/2010
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Provider Practice Location Address
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    Address Line         |    7643 ARUNDEL MILLS BLVD 
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    City                 |    HANOVER
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    State                |    MD
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    Zip                  |    21076-1305
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    Country              |    US
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    Telephone            |    410-904-7227
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    Fax                  |    410-904-7226
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Provider Business Mailing Address
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    Address Line         |    2012 PINECROFT CT 
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    City                 |    ODENTON
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    State                |    MD
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    Zip                  |    21113-1032
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    Country              |    US
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    Telephone            |    410-305-1262
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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       |    11766
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    License Number State |    MD
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