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General NPI Number Information
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NPI Number | 1962789339
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Entity Type | Individual
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Provider Name | EDGAR FRANKLIN TALBOTT III PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/13/2011
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Last Update Date | 08/03/2016
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Provider Practice Location Address
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Address Line | 1060 DRAGON RD
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City | OAKWOOD
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State | VA
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Zip | 24631-9210
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Country | US
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Telephone | 186-693-5735
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 245 1033 COLT HOLLOW ROAD
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City | GRUNDY
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State | VA
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Zip | 24614-0245
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Country | US
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Telephone | 276-220-5537
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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 | 014712
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202209375
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License Number State | VA
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