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General NPI Number Information
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NPI Number | 1649305251
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Entity Type | Individual
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Provider Name | PAMELA BUNKER HENDRICK PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 05/09/2011
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Provider Practice Location Address
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Address Line | 700 24TH ST
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City | FORT LEE
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State | VA
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Zip | 23801-1716
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Country | US
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Telephone | 804-734-9140
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Fax |
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Provider Business Mailing Address
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Address Line | 12721 PERCIVAL ST
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City | CHESTER
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State | VA
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Zip | 23831-4738
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Country | US
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Telephone |
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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 | 0202205325
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License Number State | VA
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