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General NPI Number Information
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NPI Number | 1396067633
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Entity Type | Individual
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Provider Name | JANEL MARIE HARTNAGLE RPH
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Gender | Female
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Dates
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Enumeration Date | 02/26/2010
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Last Update Date | 02/26/2010
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Provider Practice Location Address
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Address Line | 549 HOOSICK ST
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City | TROY
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State | NY
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Zip | 12180-2105
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Country | US
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Telephone | 518-274-5080
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Fax |
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Provider Business Mailing Address
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Address Line | 43 MELLON AVE
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City | TROY
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State | NY
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Zip | 12180-2738
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Country | US
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Telephone | 518-852-5509
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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 | 046048
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License Number State | NY
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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 | PS34595
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License Number State | FL
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