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General NPI Number Information
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NPI Number | 1699288720
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Entity Type | Individual
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Provider Name | DAVID CODIE ATKINSON PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/11/2017
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Last Update Date | 11/11/2017
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Provider Practice Location Address
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Address Line | 3109 TEAYS VALLEY RD
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City | HURRICANE
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State | WV
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Zip | 25526-1318
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Country | US
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Telephone | 304-562-2677
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Fax |
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Provider Business Mailing Address
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Address Line | 2624 HENDERSON AVE APT 10
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City | HURRICANE
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State | WV
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Zip | 25526-1147
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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 | 03233264
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0008205
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License Number State | WV
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