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General NPI Number Information
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NPI Number | 1952095135
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Entity Type | Organization
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Legal Business Name | JH ORG 07302014
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Dates
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Enumeration Date | 07/30/2014
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 6801 KENNEDY RD
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City | WARRENTON
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State | VA
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Zip | 20187-3995
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Country | US
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Telephone | 324-324-3434
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Fax |
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Provider Business Mailing Address
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Address Line | 13600 UNION CHURCH RD
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City | SUMERDUCK
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State | VA
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Zip | 22742-1942
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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 | ADMIN
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Name | MR. TEST ORG-A II
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Credential | MD
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Telephone | 555-111-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835I0206X
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Taxonomy Name | Infectious Diseases Pharmacist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1835E0208X
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Taxonomy Name | Emergency Medicine Pharmacist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207SG0207X
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Taxonomy Name | Medical Biochemical Genetics
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1835C0207X
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Taxonomy Name | Compounded Sterile Preparations Pharmacist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1835S0206X
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Taxonomy Name | Solid Organ Transplant Pharmacist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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