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NPI 1104835115

NPI 1104835115 : WEST END SERVICES INC : ALLENTOWN, PA

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General NPI Number Information
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    NPI Number           |    1104835115
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    Entity Type          |    Organization 
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    Legal Business Name  |    WEST END SERVICES INC 
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Dates
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    Enumeration Date     |    08/07/2006
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    Last Update Date     |    04/24/2017
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Provider Practice Location Address
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    Address Line         |    6620 GRANT WAY SUITE B
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    City                 |    ALLENTOWN
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    State                |    PA
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    Zip                  |    18106-9316
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    Country              |    US
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    Telephone            |    610-437-8850
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    Fax                  |    610-437-8852
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Provider Business Mailing Address
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    Address Line         |    6620 GRANT WAY SUITE B
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    City                 |    ALLENTOWN
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    State                |    PA
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    Zip                  |    18106-9316
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    Country              |    US
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    Telephone            |    610-437-8850
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    Fax                  |    610-437-8852
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     CHRISTOPHER  LEON 
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    Credential           |    PHARMACY
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    Telephone            |    610-437-8850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    3336S0011X
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    Taxonomy Name        |    Specialty Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    3336L0003X
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    Taxonomy Name        |    Long Term Care Pharmacy
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    License Number       |    PP415750L
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    License Number State |    PA
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