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General NPI Number Information
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NPI Number | 1396727483
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Entity Type | Individual
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Provider Name | MICHAEL CHRISTOPHER CRAIN RPH
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Gender | Male
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Dates
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Enumeration Date | 11/15/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 328 DEKALB ST
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City | NORRISTOWN
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State | PA
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Zip | 19401-4906
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Country | US
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Telephone | 610-272-0637
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Fax | 610-272-1373
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Provider Business Mailing Address
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Address Line | 4168 SADDLEBROOK RD
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City | COLLEGEVILLE
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State | PA
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Zip | 19426-4118
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Country | US
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Telephone | 610-272-0637
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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 | RP032272L
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License Number State | PA
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