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General NPI Number Information
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NPI Number | 1134544265
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Entity Type | Organization
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Legal Business Name | NT&T CORPORATION
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Dates
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Enumeration Date | 02/26/2014
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Last Update Date | 03/13/2014
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Provider Practice Location Address
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Address Line | 439 WEST CHEW AVE 1ST F
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City | PHILADELPHIA
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State | PA
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Zip | 19120
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Country | US
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Telephone | 267-297-7052
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Fax | 267-297-7954
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Provider Business Mailing Address
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Address Line | 439 WEST CHEW AVE 1ST F
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City | PHILADELPHIA
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State | PA
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Zip | 19120
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Country | US
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Telephone | 267-297-7052
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Fax | 267-297-7954
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | MISS VANCAC NGUYEN
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Credential | PHARMD (RPH)
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Telephone | 267-297-7791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP482446
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License Number State | PA
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