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General NPI Number Information
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NPI Number | 1447454822
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Entity Type | Individual
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Provider Name | ROBERT GEORGE DISSINGER PHARMACIST
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Gender | Male
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 200 ANTRIM WAY
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City | GREENCASTLE
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State | PA
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Zip | 17225
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Country | US
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Telephone | 717-597-4617
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Fax |
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Provider Business Mailing Address
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Address Line | 155 FALMOUTH RD
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City | BAINBRIDGE
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State | PA
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Zip | 17502-9430
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Country | US
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Telephone | 717-367-8652
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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 | RP028009L
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License Number State | PA
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