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General NPI Number Information
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NPI Number | 1982910196
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Entity Type | Organization
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Legal Business Name | RITE AID
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Dates
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Enumeration Date | 08/25/2010
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Last Update Date | 08/25/2010
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Provider Practice Location Address
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Address Line | 448 S KING ST
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City | LEESBURG
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State | VA
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Zip | 20175-3619
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Country | US
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Telephone | 703-777-3111
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Fax | 703-779-8594
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Provider Business Mailing Address
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Address Line | 448 S KING ST
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City | LEESBURG
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State | VA
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Zip | 20175-3619
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Country | US
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Telephone | 703-777-3111
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Fax | 703-779-8594
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Authorized Official
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Title or Position | PHARMACIST
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Name | CUONG LE
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Credential |
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Telephone | 703-777-3111
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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 | 0202012415
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License Number State | VA
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