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General NPI Number Information
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NPI Number | 1457640906
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Entity Type | Individual
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Provider Name | LUANN YOCOM RPH
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Gender | Female
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Dates
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Enumeration Date | 04/05/2011
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Last Update Date | 04/05/2011
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Provider Practice Location Address
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Address Line | 2210 STATE HILL RD
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City | WYOMISSING
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State | PA
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Zip | 19610-1904
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Country | US
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Telephone | 610-378-1465
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Fax | 610-372-4831
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Provider Business Mailing Address
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Address Line | 246 WHITTON DR
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City | SHILLINGTON
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State | PA
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Zip | 19607-2440
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Country | US
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Telephone | 610-823-4205
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Fax | 610-372-4831
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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 | RP029229L
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License Number State | PA
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