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General NPI Number Information
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NPI Number | 1306295571
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Entity Type | Individual
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Provider Name | COLLEEN STROUSE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/08/2016
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Last Update Date | 03/19/2024
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Provider Practice Location Address
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Address Line | 132 ABIGAIL LN
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City | PORT MATILDA
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State | PA
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Zip | 16870-7153
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Country | US
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Telephone | 866-248-1980
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Fax |
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Provider Business Mailing Address
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Address Line | 216 SAND RIDGE RD
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City | HOWARD
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State | PA
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Zip | 16841-4013
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Country | US
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Telephone | 814-441-6683
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | I060965-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | RP451077
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License Number State | PA
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