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General NPI Number Information
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NPI Number | 1215024740
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Entity Type | Individual
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Provider Name | EDWARD T MILLWARD JR. RPH
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Gender | Male
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 33 E MAIN ST
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City | EVERETT
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State | PA
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Zip | 15537-1257
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Country | US
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Telephone | 814-652-5633
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Fax | 814-652-6201
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Provider Business Mailing Address
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Address Line | 1132 PLANK RD
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City | EVERETT
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State | PA
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Zip | 15537-4858
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Country | US
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Telephone | 814-652-6791
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Fax | 814-652-6163
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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 | RP027365L
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License Number State | PA
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