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General NPI Number Information
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NPI Number | 1194238923
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Entity Type | Organization
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Legal Business Name | CLINICAL SUPPORT CENTER INC
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Dates
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Enumeration Date | 11/15/2017
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 541 CENTRAL AVE
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City | CHELTENHAM
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State | PA
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Zip | 19012-2135
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Country | US
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Telephone | 215-379-3792
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Fax | 215-379-3249
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Provider Business Mailing Address
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Address Line | 541 CENTRAL AVENUE
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City | CHELTENHAM
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State | PA
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Zip | 19012-2130
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Country | US
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Telephone | 215-379-3792
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Fax | 215-379-3249
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARTHUR KILIMNIK
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Credential |
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Telephone | 215-379-3792
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP482761
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License Number State | PA
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