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General NPI Number Information
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NPI Number | 1073387213
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Entity Type | Individual
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Provider Name | DALAL KABLAN
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Gender | Female
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Dates
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Enumeration Date | 11/08/2023
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Last Update Date | 04/28/2024
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Provider Practice Location Address
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Address Line | 316 E LANCASTER AVE
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City | WAYNE
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State | PA
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Zip | 19087-4301
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Country | US
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Telephone | 610-688-8852
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Fax |
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Provider Business Mailing Address
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Address Line | 804 BUTTONWOOD ST
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City | NORRISTOWN
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State | PA
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Zip | 19401-3652
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Country | US
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Telephone |
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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 | 28RI04336300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP458334
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License Number State | PA
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