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General NPI Number Information
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NPI Number | 1942812136
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Entity Type | Individual
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Provider Name | GINA MARIE PRIZZIO PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/19/2020
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Last Update Date | 08/19/2020
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Provider Practice Location Address
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Address Line | 9000 STAPLES MILL RD
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City | HENRICO
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State | VA
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Zip | 23228-2021
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Country | US
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Telephone | 804-977-9515
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Fax |
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Provider Business Mailing Address
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Address Line | 2711 PINERIDGE LN
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City | POWHATAN
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State | VA
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Zip | 23139-5031
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Country | US
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Telephone | 804-901-4438
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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 | 0202218939
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License Number State | VA
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