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General NPI Number Information
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NPI Number | 1477892040
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Entity Type | Individual
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Provider Name | DR. MATTHEW ZRADA
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Gender | Male
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Dates
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Enumeration Date | 02/02/2013
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Last Update Date | 02/02/2013
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Provider Practice Location Address
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Address Line | 1824 E RIDGE PIKE
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City | ROYERSFORD
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State | PA
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Zip | 19468-2819
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Country | US
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Telephone | 610-226-2152
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Fax |
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Provider Business Mailing Address
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Address Line | 745 BELLINGHAM LN
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City | HARLEYSVILLE
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State | PA
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Zip | 19438-3804
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Country | US
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Telephone | 215-500-6587
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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 | RP447477
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH05186
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License Number State | RI
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