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General NPI Number Information
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NPI Number | 1083629901
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Entity Type | Organization
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Legal Business Name | GIANT EAGLE INC
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 510 MARWALT LN
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City | ROARING SPRING
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State | PA
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Zip | 16673-2130
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Country | US
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Telephone | 814-224-4201
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Fax | 814-224-0067
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Provider Business Mailing Address
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Address Line | 700 CRANBERRY WOODS DR
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City | CRANBERRY TWP
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State | PA
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Zip | 16066-5213
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Country | US
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Telephone | 412-968-1529
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Fax | 412-406-1561
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Authorized Official
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Title or Position | MANAGED CARE CREDENTIALING
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Name | KELLY ANNE ZMARZLY
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Credential |
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Telephone | 412-968-1529
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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 | PP414064L
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License Number State | PA
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