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General NPI Number Information
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NPI Number | 1255509634
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Entity Type | Individual
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Provider Name | DANIELA P BOLEA PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 02/19/2008
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Last Update Date | 02/19/2008
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Provider Practice Location Address
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Address Line | 5502 HARRIET ST
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City | PITTSBURGH
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State | PA
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Zip | 15232-1021
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Country | US
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Telephone | 412-687-9952
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 LINCOLN HWY KMART PHARMACY
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City | N VERSAILLES
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State | PA
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Zip | 15137-2736
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Country | US
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Telephone | 412-823-7270
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Fax | 412-823-1958
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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 | RP438806
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License Number State | PA
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