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General NPI Number Information
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NPI Number | 1417238619
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Entity Type | Individual
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Provider Name | ALAN BRODSKY
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Gender | Male
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Dates
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Enumeration Date | 08/31/2011
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Last Update Date | 08/31/2011
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Provider Practice Location Address
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Address Line | 10 E STREET RD
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City | WEST CHESTER
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State | PA
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Zip | 19382-8412
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Country | US
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Telephone | 610-399-3924
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Fax |
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Provider Business Mailing Address
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Address Line | 9 JONATHAN MORRIS CIR
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City | MEDIA
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State | PA
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Zip | 19063-1069
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Country | US
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Telephone |
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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 | RP031489L
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License Number State | PA
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