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General NPI Number Information
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NPI Number | 1104862150
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Entity Type | Organization
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Legal Business Name | PROTICA, INC.
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 07/18/2008
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Provider Practice Location Address
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Address Line | 331 MAPLE AVE SUITE #4
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City | HORSHAM
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State | PA
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Zip | 19044-2139
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Country | US
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Telephone | 610-994-3852
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Fax | 610-944-3288
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Provider Business Mailing Address
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Address Line | 331 MAPLE AVE SUITE #4
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City | HORSHAM
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State | PA
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Zip | 19044-2139
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Country | US
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Telephone | 610-994-3852
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Fax | 610-944-3288
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES F DUFFY
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Credential |
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Telephone | 610-832-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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