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General NPI Number Information
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NPI Number | 1821309378
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Entity Type | Individual
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Provider Name | ARLEN EDSEL CULLORS JR. PHARM. D.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2010
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Last Update Date | 06/30/2010
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Provider Practice Location Address
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Address Line | 250 W CHASE ST
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City | BALTIMORE
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State | MD
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Zip | 21201-4815
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Country | US
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Telephone | 410-752-4473
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Fax | 410-752-6488
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Provider Business Mailing Address
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Address Line | 2427 MADISON AVE
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City | BALTIMORE
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State | MD
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Zip | 21217-4039
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Country | US
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Telephone | 410-383-8506
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Fax | 410-383-8506
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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 | 15822
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License Number State | MD
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