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General NPI Number Information
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NPI Number | 1659983518
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Entity Type | Individual
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Provider Name | MR. DAVID MICHAEL FLAMMIA
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Gender | Male
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Dates
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Enumeration Date | 08/20/2020
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Last Update Date | 08/20/2020
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Provider Practice Location Address
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Address Line | 11895 W BROAD ST
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City | HENRICO
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State | VA
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Zip | 23233-1065
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Country | US
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Telephone | 804-360-3650
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Fax | 804-360-3848
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Provider Business Mailing Address
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Address Line | 300 WILLWAY DR
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City | MANAKIN SABOT
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State | VA
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Zip | 23103-3281
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Country | US
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Telephone | 804-477-4236
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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 | 0202011380
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License Number State | VA
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