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General NPI Number Information
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NPI Number | 1730360827
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Entity Type | Individual
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Provider Name | STEPHANIE JANELLE SPENCE PHARMD, RPH
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Gender | Female
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Dates
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Enumeration Date | 11/17/2007
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Last Update Date | 11/17/2007
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Provider Practice Location Address
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Address Line | 200 N PICKETT ST APARTMENT 810
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City | ALEXANDRIA
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State | VA
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Zip | 22304-2120
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Country | US
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Telephone | 215-429-4214
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Fax |
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Provider Business Mailing Address
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Address Line | 200 N PICKETT ST APARTMENT 810
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City | ALEXANDRIA
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State | VA
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Zip | 22304-2120
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Country | US
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Telephone | 215-429-4214
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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 | 0202208061
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License Number State | VA
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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 | RP441991
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License Number State | PA
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