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General NPI Number Information
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NPI Number | 1447279294
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Entity Type | Individual
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Provider Name | RONALD J MESSICK
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 10/24/2012
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Provider Practice Location Address
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Address Line | 322 3RD ST
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City | CALIFORNIA
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State | PA
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Zip | 15419-1134
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Country | US
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Telephone | 724-938-2395
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Fax | 724-938-8244
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Provider Business Mailing Address
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Address Line | 322 3RD ST
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City | CALIFORNIA
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State | PA
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Zip | 15419-1134
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Country | US
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Telephone | 724-938-2395
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Fax | 724-938-8244
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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 | RP032797L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PP413276L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP413276L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | JFYUMUXFJ
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License Number State | PA
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