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NPI 1114599628

NPI 1114599628 : NICHOLAS GREGORY FIELD PHARMD : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1114599628
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    Entity Type          |    Individual 
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    Provider Name        |    NICHOLAS GREGORY FIELD PHARMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/14/2021
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    Last Update Date     |    11/26/2025
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Provider Practice Location Address
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    Address Line         |    255 S 17TH ST 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19103-6231
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    Country              |    US
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    Telephone            |    215-545-3525
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    106 WASHINGTON ST 
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    City                 |    WEST PITTSTON
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    State                |    PA
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    Zip                  |    18643-2429
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    Country              |    US
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    Telephone            |    856-340-0501
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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        |    1835P0018X
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    Taxonomy Name        |    Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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    License Number       |    RP454667
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    License Number State |    PA
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