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General NPI Number Information
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NPI Number | 1043815673
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Entity Type | Individual
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Provider Name | PRITI AMIN
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Gender | Female
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Dates
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Enumeration Date | 12/01/2020
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Last Update Date | 12/01/2020
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Provider Practice Location Address
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Address Line | 1101 S WEST END BLVD
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City | QUAKERTOWN
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State | PA
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Zip | 18951-5207
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Country | US
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Telephone | 215-536-0414
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Fax |
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Provider Business Mailing Address
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Address Line | 1032 GRAYSON DRIVE
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City | SOUDERTON
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State | PA
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Zip | 18964
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Country | US
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Telephone | 732-925-8522
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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 | RP443971
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License Number State | PA
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