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General NPI Number Information
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NPI Number | 1891099560
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Entity Type | Individual
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Provider Name | WILLIAM LINNIE GERRARD JR. R.PH.
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Gender | Male
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Dates
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Enumeration Date | 01/10/2011
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 5479 GERMANNA HWY
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City | LOCUST GROVE
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State | VA
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Zip | 22508-2018
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Country | US
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Telephone | 540-972-7994
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Fax | 540-972-0706
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Provider Business Mailing Address
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Address Line | 10604 ROLLINGWOOD DR
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City | FREDERICKSBURG
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State | VA
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Zip | 22407-1675
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Country | US
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Telephone | 540-898-0306
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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 | 0202004205
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License Number State | VA
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