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General NPI Number Information
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NPI Number | 1003121534
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Entity Type | Individual
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Provider Name | CRAIG JOSEPH HENDRICKS PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/09/2010
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Last Update Date | 08/09/2010
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Provider Practice Location Address
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Address Line | 657 HAMLIN HIGHWAY
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City | HAMLIN
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State | PA
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Zip | 18427
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Country | US
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Telephone | 570-689-5011
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Fax |
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Provider Business Mailing Address
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Address Line | 701 BUTLER ST
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City | DUNMORE
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State | PA
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Zip | 18512-3014
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Country | US
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Telephone | 570-406-0210
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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 | RP437594
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License Number State | PA
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