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General NPI Number Information
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NPI Number | 1306394903
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Entity Type | Organization
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Legal Business Name | NORTH HUNTINGDON MEDICAL INC
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Dates
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Enumeration Date | 09/13/2016
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Last Update Date | 09/27/2016
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Provider Practice Location Address
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Address Line | 8731 STATE ROUTE 30 STE 1
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City | NORTH HUNTINGDON
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State | PA
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Zip | 15642-3241
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Country | US
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Telephone | 866-213-9821
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Fax | 877-526-8823
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Provider Business Mailing Address
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Address Line | 8731 ROUTE 30 STE 1
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City | NORTH HUNTINGDON
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State | PA
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Zip | 15642-3241
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Country | US
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Telephone | 866-213-9821
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Fax | 877-526-8823
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARVIN ACCUSERV PHARMACY
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Credential |
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Telephone | 412-417-9861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PP482655
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License Number State | PA
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