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General NPI Number Information
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NPI Number | 1588797302
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Entity Type | Individual
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Provider Name | AMANDA MARIE GLOVER PHARMD, CDM
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Gender | Female
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 50 SERVICE AVE
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City | WARWICK
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State | RI
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Zip | 02886-1021
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Country | US
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Telephone | 401-468-2829
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Fax | 401-468-2870
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Provider Business Mailing Address
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Address Line | 167 FAIRVIEW AVE
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City | HOPE VALLEY
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State | RI
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Zip | 02832-2116
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Country | US
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Telephone | 401-539-2372
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Fax | 401-468-2870
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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 | RPH04342
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License Number State | RI
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