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General NPI Number Information
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NPI Number | 1134153513
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Entity Type | Individual
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Provider Name | JOHN MUIR PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2907 PLEASANT VALLEY BLVD
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City | ALTOONA
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State | PA
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Zip | 16602-4305
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Country | US
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Telephone | 814-943-8164
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Fax | 814-940-6301
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Provider Business Mailing Address
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Address Line | 641 HILLSIDE VIEW DR
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City | DUNCANSVILLE
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State | PA
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Zip | 16635-7455
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Country | US
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Telephone |
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | PS21031
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License Number State | FL
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