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General NPI Number Information
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NPI Number | 1033223680
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Entity Type | Organization
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Legal Business Name | JOSEPH F. DELLANTONIO, INC.
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 06/21/2011
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Provider Practice Location Address
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Address Line | 307 E MARKET ST
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City | CLEARFIELD
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State | PA
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Zip | 16830-2432
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Country | US
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Telephone | 814-765-7841
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Fax | 814-765-5827
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Provider Business Mailing Address
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Address Line | 307 E MARKET ST
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City | CLEARFIELD
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State | PA
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Zip | 16830-2432
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Country | US
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Telephone | 814-765-7841
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Fax | 814-765-5827
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Authorized Official
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Title or Position | CORP. SECRETARY / BOOKKEEPER
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Name | MRS. BEVERLY J. SCHICKLING
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Credential |
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Telephone | 814-765-7841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP413006L
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License Number State | PA
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