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General NPI Number Information
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NPI Number | 1760603864
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Entity Type | Organization
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Legal Business Name | MEDICATION INFORMATION MEANS EMPOWERMENT, LLC
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 01/07/2010
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Provider Practice Location Address
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Address Line | 8706 WINANDS RD
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-4036
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Country | US
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Telephone | 410-922-6542
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 953
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-9998
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Country | US
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Telephone | 410-922-6542
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. GINA P MCKNIGHT-SMITH
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Credential | PHARMD, MBA
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Telephone | 410-922-6542
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 14600
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License Number State | MD
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