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General NPI Number Information
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NPI Number | 1518047422
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Entity Type | Individual
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Provider Name | JAMIE DALE WYELS R.PH.
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Gender | Male
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5850 MERIDIAN RD
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City | GIBSONIA
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State | PA
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Zip | 15044-9605
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Country | US
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Telephone | 724-444-5598
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Fax | 724-444-5585
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Provider Business Mailing Address
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Address Line | 101 DENNIS DR
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City | GLENSHAW
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State | PA
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Zip | 15116-3003
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Country | US
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Telephone | 412-492-8080
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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 | RP439699
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License Number State | PA
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