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General NPI Number Information
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NPI Number | 1710357454
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Entity Type | Individual
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Provider Name | ANNA EINWALTER
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Gender | Female
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Dates
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Enumeration Date | 10/06/2015
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Last Update Date | 10/06/2015
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Provider Practice Location Address
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Address Line | 11729 BELTSVILLE DR
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City | BELTSVILLE
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State | MD
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Zip | 20705-3147
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Country | US
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Telephone | 888-694-7287
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Fax |
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Provider Business Mailing Address
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Address Line | 9106 SANDRA CT
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-3317
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Country | US
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Telephone | 443-675-8274
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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 | 21634
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License Number State | MD
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