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General NPI Number Information
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NPI Number | 1740388784
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Entity Type | Organization
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Legal Business Name | LAWRENCE HYDE CORPORATION
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 09/16/2016
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Provider Practice Location Address
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Address Line | 1156 GEORGE WASHINGTON HWY N
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City | CHESAPEAKE
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State | VA
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Zip | 23323-4908
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Country | US
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Telephone | 757-487-3458
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Fax | 757-487-4131
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Provider Business Mailing Address
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Address Line | 1156 GEORGE WASHINGTON HWY N
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City | CHESAPEAKE
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State | VA
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Zip | 23323-4908
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Country | US
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Telephone | 757-487-3458
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Fax | 757-487-4131
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Authorized Official
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Title or Position | OWNER/PIC
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Name | CHRIS MERCER
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Credential | RPH
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Telephone | 757-487-3458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 0201000416
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License Number State | VA
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