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General NPI Number Information
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NPI Number | 1811771868
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Entity Type | Individual
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Provider Name | SHARI DENISE FOGELQUIST PHARMD, BCACP
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Gender | Female
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Dates
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Enumeration Date | 08/22/2023
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 2435 W BELVEDERE AVE
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City | BALTIMORE
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State | MD
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Zip | 21215-5224
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Country | US
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Telephone | 410-601-7303
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Fax |
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Provider Business Mailing Address
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Address Line | 4313 TRAVANCORE CT
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-1315
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Country | US
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Telephone | 918-344-0530
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 23683
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH60493043
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License Number State | WA
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