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General NPI Number Information
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NPI Number | 1396860466
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Entity Type | Individual
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Provider Name | JOSEPH BRIAN LECRONE PHARMD
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Gender | Male
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 12/01/2020
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Provider Practice Location Address
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Address Line | 1100 GRAMPIAN BOULEVARD PHARMACY
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City | WILLIAMSPORT
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State | PA
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Zip | 17754-2401
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Country | US
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Telephone | 570-320-7473
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Fax |
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Provider Business Mailing Address
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Address Line | 503 N WASHINGTON ST
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City | MONTOURSVILLE
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State | PA
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Zip | 17754-1335
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Country | US
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Telephone | 570-506-6618
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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 | RPI004902
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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 | RP039864L
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License Number State | PA
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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 | L45193K3
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License Number State | PA
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