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NPI 1245520428

NPI 1245520428 : TRUC LE : HANOVER, PA

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General NPI Number Information
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    NPI Number           |    1245520428
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    Entity Type          |    Individual 
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    Provider Name        |    TRUC LE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/08/2011
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    Last Update Date     |    04/08/2011
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Provider Practice Location Address
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    Address Line         |    1430 BALTIMORE ST 
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    City                 |    HANOVER
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    State                |    PA
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    Zip                  |    17331-8529
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    Country              |    US
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    Telephone            |    717-632-8833
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2185 NENA DR 
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    City                 |    YORK
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    State                |    PA
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    Zip                  |    17408-4485
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    Country              |    US
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    Telephone            |    
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    RP043253L
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    License Number State |    PA
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