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General NPI Number Information
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NPI Number | 1932317484
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Entity Type | Individual
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Provider Name | MARTINA ROSE POJETA RPH
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Gender | Female
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 372 TOWNE CENTRE DR.
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City | ABINGDON
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State | VA
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Zip | 24210
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Country | US
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Telephone | 276-628-3233
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Fax |
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Provider Business Mailing Address
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Address Line | 20246 HERON CIR
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City | ABINGDON
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State | VA
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Zip | 24211-7618
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Country | US
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Telephone | 276-628-3790
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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 | 0202010432
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License Number State | VA
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