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General NPI Number Information
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NPI Number | 1437384740
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Entity Type | Individual
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Provider Name | TIMOTHY A BLACK R.PH.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2009
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Last Update Date | 01/03/2026
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Provider Practice Location Address
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Address Line | 72 BEDFORD SQ
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City | EVERETT
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State | PA
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Zip | 15537-6934
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Country | US
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Telephone | 814-623-1995
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Fax | 814-623-2545
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Provider Business Mailing Address
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Address Line | 72 BEDFORD SQ
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City | EVERETT
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State | PA
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Zip | 15537-6934
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Country | US
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Telephone | 814-623-1995
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Fax | 814-623-2545
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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 | RP037295L
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License Number State | PA
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