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General NPI Number Information
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NPI Number | 1841893344
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Entity Type | Individual
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Provider Name | SOMDANEY SARA PEK PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/17/2020
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 9785 JEFFERSON DAVIS HWY
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City | FREDERICKSBURG
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State | VA
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Zip | 22407-9406
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Country | US
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Telephone | 540-834-1441
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 351
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City | FAIRFAX
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State | VA
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Zip | 22038-0351
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Country | US
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Telephone |
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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 | 0202217627
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License Number State | VA
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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 | PHI0937
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License Number State | DC
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