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General NPI Number Information
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NPI Number | 1154411593
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Entity Type | Individual
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Provider Name | VINCENT JOSEPH PAUL RPH
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Gender | Male
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Dates
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Enumeration Date | 10/14/2006
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 1508 PHILADELPHIA PIKE
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City | WILMINGTON
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State | DE
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Zip | 19809-1826
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Country | US
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Telephone | 302-574-9836
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Fax |
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Provider Business Mailing Address
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Address Line | 181 N POTTSTOWN PIKE UNIT 1248
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City | EXTON
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State | PA
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Zip | 19341-2259
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Country | US
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Telephone | 610-662-2131
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP032463L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 10249
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | A1-0001952
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License Number State | DE
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