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General NPI Number Information
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NPI Number | 1659341014
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Entity Type | Individual
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Provider Name | ALICIA MOZZACHIO RPH
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Gender | Female
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11919 ROCKVILLE PIKE ROOM 415
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City | ROCKVILLE
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State | MD
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Zip | 20852-2784
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Country | US
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Telephone | 301-827-9010
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Fax | 301-827-8909
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Provider Business Mailing Address
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Address Line | 2701 CALVERT ST NW #825
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City | WASHINGTON
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State | DC
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Zip | 20008
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Country | US
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Telephone | 202-248-7756
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Fax | 301-827-8909
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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 | RP040220L
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License Number State | PA
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