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General NPI Number Information
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NPI Number | 1669069522
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Entity Type | Individual
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Provider Name | PATRICK WAYNE COMBS JR. PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/28/2020
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Last Update Date | 12/28/2020
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Provider Practice Location Address
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Address Line | 2259 LANGHORNE RD
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City | LYNCHBURG
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State | VA
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Zip | 24501-1114
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Country | US
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Telephone | 434-845-5953
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Fax |
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Provider Business Mailing Address
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Address Line | 306 TWO CREEK DR
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City | LYNCHBURG
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State | VA
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Zip | 24502-5140
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Country | US
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Telephone | 304-654-0484
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Fax | 401-652-1162
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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 | 0202214838
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License Number State | VA
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