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General NPI Number Information
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NPI Number | 1619450830
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Entity Type | Individual
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Provider Name | DHAKRIT RUNGKITWATTANAKUL PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/13/2018
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Last Update Date | 09/13/2018
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Provider Practice Location Address
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Address Line | HOWARD UNIVERSITY
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City | WASHINGTON
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State | DC
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Zip | 20059-0001
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Country | US
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Telephone | 202-250-6469
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Fax |
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Provider Business Mailing Address
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Address Line | 8154 BOSS ST
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City | VIENNA
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State | VA
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Zip | 22182-3775
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Country | US
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Telephone | 240-449-7294
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PH100002874
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | PH100002874
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License Number State | DC
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