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General NPI Number Information
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NPI Number | 1184775306
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Entity Type | Organization
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Legal Business Name | PRECISION CARE PHARMACY
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 08/10/2015
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Provider Practice Location Address
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Address Line | 1906 DAILEY AVE
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City | LATROBE
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State | PA
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Zip | 15650-3030
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Country | US
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Telephone | 724-532-2120
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Fax | 724-532-5808
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Provider Business Mailing Address
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Address Line | 1906 DAILEY AVE.
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City | LATROBE
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State | PA
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Zip | 15650-3030
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Country | US
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Telephone | 724-532-2120
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Fax | 724-532-5808
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | CRAIG M TAYLOR
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Credential |
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Telephone | 724-532-2120
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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 | PP481107
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PP481107
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License Number State | PA
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