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General NPI Number Information
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NPI Number | 1710223425
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Entity Type | Individual
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Provider Name | ALBERT SHOMADE PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/27/2012
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Last Update Date | 12/27/2012
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Provider Practice Location Address
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Address Line | 1325 14TH ST NW
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City | WASHINGTON
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State | DC
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Zip | 20005-3610
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Country | US
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Telephone | 202-332-8811
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Fax | 202-332-3880
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Provider Business Mailing Address
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Address Line | 7304 CARROLL AVE #105
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City | TAKOMA PARK
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State | MD
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Zip | 20912-4514
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Country | US
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Telephone | 301-477-3333
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN64761
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R132831
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH100000654
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 19065
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License Number State | MD
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