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General NPI Number Information
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NPI Number | 1366719684
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Entity Type | Individual
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Provider Name | ROBERT M GOSNER JR. B.S. PHARMACY
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Gender | Male
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Dates
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Enumeration Date | 12/01/2011
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Last Update Date | 12/01/2011
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Provider Practice Location Address
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Address Line | 3405 W CHESTER PIKE B-106 WOODBROOK HOUSE
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City | NEWTOWN SQUARE
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State | PA
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Zip | 19073-4293
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Country | US
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Telephone | 484-467-1556
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Fax |
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Provider Business Mailing Address
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Address Line | 3405 W CHESTER PIKE B-106 WOODBROOK HOUSE
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City | NEWTOWN SQUARE
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State | PA
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Zip | 19073-4293
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Country | US
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Telephone | 484-467-1556
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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 | RP030627L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RL02851300
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPL001046
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License Number State | PA
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