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General NPI Number Information
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NPI Number | 1588081020
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Entity Type | Organization
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Legal Business Name | MILLENNIUM PHARMACY
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Dates
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Enumeration Date | 03/22/2014
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Last Update Date | 03/22/2014
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Provider Practice Location Address
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Address Line | 6305 CASTLE PL STE 1E
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City | FALLS CHURCH
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State | VA
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Zip | 22044-1905
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Country | US
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Telephone | 703-992-8686
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Fax | 703-992-8766
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Provider Business Mailing Address
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Address Line | 6305 CASTLE PL STE 1E
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City | FALLS CHURCH
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State | VA
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Zip | 22044-1905
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Country | US
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Telephone | 703-992-8686
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Fax | 703-992-8766
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Authorized Official
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Title or Position | PHARMACY MANAGER/PARTNER
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Name | MR. MOHAMED ABDALLA
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Credential | RPH
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Telephone | 571-271-5019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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