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General NPI Number Information
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NPI Number | 1184020232
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Entity Type | Organization
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Legal Business Name | CARESTAT HEALTH INC
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Dates
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Enumeration Date | 11/17/2014
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Last Update Date | 11/17/2014
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Provider Practice Location Address
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Address Line | 110 SHADY LN SUITE 2
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City | MILFORD
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State | PA
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Zip | 18337-9420
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Country | US
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Telephone | 570-296-8800
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Fax | 570-296-8802
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Provider Business Mailing Address
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Address Line | 110 SHADY LN SUITE 2
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City | MILFORD
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State | PA
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Zip | 18337-9420
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Country | US
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Telephone | 570-296-8800
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Fax | 570-296-8802
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Authorized Official
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Title or Position | CEO
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Name | MS. CECILIA SZMETENA
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Credential |
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Telephone | 570-296-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PP482492
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License Number State | PA
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