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General NPI Number Information
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NPI Number | 1437401866
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Entity Type | Individual
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Provider Name | CRAIG W FREYER JR. PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 10/09/2012
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Last Update Date | 03/02/2016
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Provider Practice Location Address
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Address Line | 3400 SPRUCE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4238
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Country | US
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Telephone | 215-380-0210
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Fax |
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Provider Business Mailing Address
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Address Line | 106 BROOKWOOD DR
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City | AMBLER
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State | PA
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Zip | 19002-5024
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Country | US
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Telephone | 203-525-2656
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | RP450190
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License Number State | PA
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