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NPI 1972910628

NPI 1972910628 : ANDREW JARRELL PHARMD, BCPS : BALTIMORE, MD

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General NPI Number Information
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    NPI Number           |    1972910628
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    Entity Type          |    Individual 
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    Provider Name        |    ANDREW JARRELL PHARMD, BCPS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/15/2014
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    Last Update Date     |    07/15/2014
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Provider Practice Location Address
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    Address Line         |    1800 ORLEANS ST, CARNEGIE 180 JHH DEPARTMENT OF PHARMACY
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21201
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    Country              |    US
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    Telephone            |    513-633-2207
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    127 W READ ST 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21201-4903
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    Country              |    US
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    Telephone            |    513-633-2207
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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       |    21639
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    License Number State |    MD
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Taxonomy #2
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    Taxonomy Code        |    1835P0018X
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    Taxonomy Name        |    Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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    License Number       |    21639
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    License Number State |    MD
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Taxonomy #3
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    Taxonomy Code        |    1835P1200X
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    Taxonomy Name        |    Pharmacotherapy Pharmacist
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    License Number       |    21639
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    License Number State |    MD
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