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General NPI Number Information
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NPI Number | 1992886626
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Entity Type | Organization
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Legal Business Name | OUTPATIENT RX INC
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 08/25/2010
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Provider Practice Location Address
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Address Line | 3300 GALLOWS RD TOWER LOBBY, FIRST LOBBY
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City | FALLS CHURCH
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State | VA
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Zip | 22042-3307
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Country | US
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Telephone | 703-776-2029
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 GALLOWS RD TOWER LOBBY, FIRST LOBBY
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City | FALLS CHURCH
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State | VA
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Zip | 22042-3307
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Country | US
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Telephone | 703-776-2029
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Fax |
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Authorized Official
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Title or Position | CONTOLLER/PRACTICE MANAGER
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Name | MRS. BEVERLY ERME-COX
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Credential | CPA
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Telephone | 571-730-1128
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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 | 0201004071
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License Number State | VA
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