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General NPI Number Information
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NPI Number | 1568129484
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Entity Type | Individual
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Provider Name | AMANDA GOLUB PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 11/27/2021
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 1027 MEMORIAL DR STE 100
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City | OAKLAND
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State | MD
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Zip | 21550-4343
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Country | US
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Telephone | 301-501-5674
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Fax |
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Provider Business Mailing Address
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Address Line | 276 MEADOWLAND DR
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City | RIDGELEY
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State | WV
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Zip | 26753-7849
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Country | US
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Telephone | 301-338-1058
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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 | RP0012675
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 30151
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License Number State | MD
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