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General NPI Number Information
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NPI Number | 1538513965
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Entity Type | Organization
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Legal Business Name | UPSCALE HEALTH AND PHARMACY
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Dates
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Enumeration Date | 04/22/2016
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Last Update Date | 04/04/2017
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Provider Practice Location Address
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Address Line | 6233 GEORGIA AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20011-5111
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Country | US
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Telephone | 202-652-0223
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Fax | 202-652-0198
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Provider Business Mailing Address
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Address Line | 6233 GEORGIA AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20011-5111
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Country | US
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Telephone | 202-652-0223
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Fax | 202-652-0198
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Authorized Official
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Title or Position | PHARMACIST
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Name | NGOZI IKEJI
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Credential |
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Telephone | 202-652-0223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail 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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number | RX0000098
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License Number State | DC
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