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General NPI Number Information
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NPI Number | 1730513623
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Entity Type | Individual
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Provider Name | BETHANY L GENT PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/27/2013
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Last Update Date | 04/27/2015
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Provider Practice Location Address
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Address Line | 2305 OAKLAWN BLVD
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City | HOPEWELL
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State | VA
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Zip | 23860-5032
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Country | US
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Telephone | 804-458-1231
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Fax |
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Provider Business Mailing Address
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Address Line | 2450 OLD BRICK RD APT# 1338
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City | GLEN ALLEN
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State | VA
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Zip | 23060-5992
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Country | US
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Telephone | 724-766-1980
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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 | RP448085
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License Number State | PA
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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 | 0202213253
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License Number State | VA
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