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General NPI Number Information
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NPI Number | 1790979136
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Entity Type | Organization
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Legal Business Name | GREEN SPRING PATIENT FIRST SERIES
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 08/29/2007
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Provider Practice Location Address
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Address Line | 5100 EASTERN AVENUE
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City | BALTIMORE
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State | MD
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Zip | 21224
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Country | US
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Telephone | 410-814-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 5000 COX RD SUITE 100 PATIENT FIRST
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City | GLEN ALLEN
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State | VA
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Zip | 23060
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Country | US
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Telephone | 804-822-4383
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Fax | 804-965-0987
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY SERVICES
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Name | MR. MARVIN WARREN BRIDGERS III
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Credential | RPH
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Telephone | 804-822-4383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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