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General NPI Number Information
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NPI Number | 1598275372
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Entity Type | Individual
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Provider Name | BOBOBIE JO JULIAN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/05/2017
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Last Update Date | 10/05/2017
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Provider Practice Location Address
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Address Line | 1600 MAIN ST
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City | FOLLANSBEE
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State | WV
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Zip | 26037-1259
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Country | US
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Telephone | 304-527-4082
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Fax |
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Provider Business Mailing Address
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Address Line | 287 BELL BLVD
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City | WEIRTON
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State | WV
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Zip | 26062-3351
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Country | US
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Telephone | 304-224-8378
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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 | RP0010328
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License Number State | WV
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