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General NPI Number Information
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NPI Number | 1275675563
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Entity Type | Organization
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Legal Business Name | SUPER HEALTH ASSOCIATES
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 4110 BUTLER PIKE STE A101C
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-1547
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Country | US
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Telephone | 215-706-2001
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 282
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City | NEWTOWN SQUARE
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State | PA
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Zip | 19073-0282
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Country | US
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Telephone | 215-706-2001
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. ANTHONY ROMANO
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Credential | RPH
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Telephone | 215-706-2001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP481223
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License Number State | PA
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