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General NPI Number Information
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NPI Number | 1699959858
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Entity Type | Individual
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Provider Name | STEPHEN M FORD PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/24/2007
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Last Update Date | 12/24/2007
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Provider Practice Location Address
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Address Line | 5113 LEESBURG PIKE SUITE 402
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City | FALLS CHURCH
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State | VA
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Zip | 22041-3204
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Country | US
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Telephone | 703-681-5101
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Fax | 703-681-4692
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Provider Business Mailing Address
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Address Line | TF62 MEDICAL BRIGADE
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City | APO
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State | AE
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Zip | 09342
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Country | IQ
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | RP035935L
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License Number State | PA
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