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General NPI Number Information
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NPI Number | 1811303795
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Entity Type | Individual
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Provider Name | ANDREW J VENTURA PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 07/11/2014
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Last Update Date | 04/09/2021
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Provider Practice Location Address
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Address Line | 78 MEDICAL CENTER DR MIS DEPARTMENT
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City | FISHERSVILLE
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State | VA
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Zip | 22939-2332
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Country | US
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Telephone | 540-332-5709
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Fax |
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Provider Business Mailing Address
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Address Line | 78 MEDICAL CENTER DR MIS DEPARTMENT
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City | FISHERSVILLE
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State | VA
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Zip | 22939-2332
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Country | US
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Telephone | 540-332-5709
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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 | 0202211412
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License Number State | VA
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