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General NPI Number Information
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NPI Number | 1336455880
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Entity Type | Individual
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Provider Name | SUSAN YUSCHAK PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/22/2010
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Last Update Date | 08/22/2010
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Provider Practice Location Address
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Address Line | 1650 LIMEKILN PIKE
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City | DRESHER
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State | PA
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Zip | 19025-1114
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Country | US
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Telephone | 215-628-4404
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Fax |
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Provider Business Mailing Address
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Address Line | 829 REDGATE RD
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City | DRESHER
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State | PA
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Zip | 19025-1433
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Country | US
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Telephone | 215-657-1986
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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 | RP034248L
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License Number State | PA
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