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General NPI Number Information
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NPI Number | 1104145424
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Entity Type | Individual
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Provider Name | SUSAN PERRY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/26/2010
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Last Update Date | 05/26/2010
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Provider Practice Location Address
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Address Line | 1201 S BETHLEHEM PIKE
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City | AMBLER
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State | PA
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Zip | 19002-5804
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Country | US
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Telephone | 215-646-8351
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Fax | 215-643-6921
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Provider Business Mailing Address
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Address Line | 106 ASCOT CT
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City | NORTH WALES
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State | PA
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Zip | 19454-4518
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Country | US
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Telephone | 818-434-1264
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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 | RP045755
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License Number State | PA
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