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General NPI Number Information
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NPI Number | 1356542807
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Entity Type | Individual
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Provider Name | DAVID KUPPERMAN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1601 CHERRY ST STE 1700
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City | PHILADELPHIA
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State | PA
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Zip | 19102-1321
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Country | US
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Telephone | 215-282-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 2408 OLCOTT AVE
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City | ARDMORE
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State | PA
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Zip | 19003-2612
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Country | US
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Telephone | 215-432-7684
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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 | RP043623L
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License Number State | PA
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