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General NPI Number Information
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NPI Number | 1346025830
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Entity Type | Individual
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Provider Name | MICHAEL PATRICK PORR PHARMD, RPH
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Gender |
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Dates
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Enumeration Date | 08/31/2023
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Last Update Date | 09/02/2024
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Provider Practice Location Address
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Address Line | 1278 S MARKET ST
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City | ELIZABETHTOWN
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State | PA
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Zip | 17022-2843
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Country | US
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Telephone | 717-367-2613
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Fax |
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Provider Business Mailing Address
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Address Line | 490 S PARK ST
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City | DALLASTOWN
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State | PA
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Zip | 17313-9256
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Country | US
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Telephone | 717-318-8184
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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 | RP458791
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License Number State | PA
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