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General NPI Number Information
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NPI Number | 1912287491
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Entity Type | Individual
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Provider Name | REBEKAH LOUISE BLOUNT PHARMD.
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Gender | Female
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Dates
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Enumeration Date | 08/28/2011
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 918 W MERCURY BLVD
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City | HAMPTON
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State | VA
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Zip | 23666-4323
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Country | US
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Telephone | 757-262-2188
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Fax | 757-262-1138
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Provider Business Mailing Address
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Address Line | 918 W MERCURY BLVD
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City | HAMPTON
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State | VA
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Zip | 23666-4323
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Country | US
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Telephone | 757-262-2188
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Fax | 757-262-1138
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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 | 0202209183
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License Number State | VA
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