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General NPI Number Information
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NPI Number | 1649792581
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Entity Type | Organization
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Legal Business Name | KALORAMA PHARMACY
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Dates
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Enumeration Date | 07/12/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1841 COLUMBIA RD NW
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City | WASHINGTON
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State | DC
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Zip | 20009
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Country | US
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Telephone | 202-795-9711
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Fax | 202-795-9785
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Provider Business Mailing Address
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Address Line | 1841 COLUMBIA RD NW
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City | WASHINGTON
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State | DC
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Zip | 20009-2059
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Country | US
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Telephone | 202-795-9711
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Fax | 202-795-9785
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Authorized Official
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Title or Position | CHAIRMAN
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Name | WILLIAM FADEL
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Credential | RPH
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Telephone | 703-943-7292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | RX1700118
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License Number State | DC
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