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General NPI Number Information
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NPI Number | 1518568310
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Entity Type | Individual
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Provider Name | PAUL JAMES NIKOLAUS R.PH.
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Gender | Male
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Dates
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Enumeration Date | 11/06/2020
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Last Update Date | 11/06/2020
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Provider Practice Location Address
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Address Line | 2641 SHILLINGTON RD
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City | READING
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State | PA
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Zip | 19608-1757
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Country | US
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Telephone | 610-678-3335
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Fax |
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Provider Business Mailing Address
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Address Line | 3645 KENNEL AVE
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City | MOUNTVILLE
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State | PA
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Zip | 17554-1151
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Country | US
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Telephone | 717-468-9715
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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 | RP036749L
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License Number State | PA
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