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General NPI Number Information
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NPI Number | 1104053131
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Entity Type | Individual
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Provider Name | JOHN A COUTROS RPH
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Gender | Male
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Dates
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Enumeration Date | 06/17/2009
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Last Update Date | 06/17/2009
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Provider Practice Location Address
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Address Line | 1650 LIMEKILN PIKE
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City | DRESHER
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State | PA
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Zip | 19025-1114
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Country | US
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Telephone | 215-628-4404
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Fax | 215-628-3620
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Provider Business Mailing Address
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Address Line | 81 CREEK RD PO BOX 31
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City | CHALFONT
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State | PA
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Zip | 18914
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Country | US
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Telephone | 215-822-7930
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Fax | 215-628-4404
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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 | RP-030407L
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License Number State | PA
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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 | 28RI01530100
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License Number State | NJ
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