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General NPI Number Information
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NPI Number | 1740604669
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Entity Type | Individual
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Provider Name | BARRY RUMBLE
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Gender | Male
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Dates
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Enumeration Date | 02/12/2014
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Last Update Date | 02/12/2014
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Provider Practice Location Address
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Address Line | 858 J CLYDE MORRIS BLVD
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-1303
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Country | US
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Telephone | 757-534-6315
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Fax | 757-534-6330
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Provider Business Mailing Address
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Address Line | 815 DANDY LOOP RD
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City | YORKTOWN
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State | VA
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Zip | 23692-4522
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Country | US
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Telephone |
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 0202007590
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License Number State | VA
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