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General NPI Number Information
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NPI Number | 1174112809
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Entity Type | Individual
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Provider Name | MARY CATHERINE SHRAWDER
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Gender | Female
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Dates
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Enumeration Date | 01/17/2021
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Last Update Date | 01/17/2021
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Provider Practice Location Address
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Address Line | 11798 ROUTE 6
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City | WELLSBORO
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State | PA
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Zip | 16901-6753
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Country | US
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Telephone | 570-724-6453
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 286
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City | WELLSBORO
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State | PA
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Zip | 16901-0286
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Country | US
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Telephone | 803-347-6270
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number |
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License Number State |
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