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General NPI Number Information
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NPI Number | 1548681398
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Entity Type | Individual
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Provider Name | NICOLE MARIE YAKOBITIS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/20/2013
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1901 MARKET ST STE 31
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City | PHILADELPHIA
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State | PA
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Zip | 19103-1475
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Country | US
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Telephone | 215-241-4714
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Fax | 215-761-0249
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Provider Business Mailing Address
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Address Line | 1901 MARKET ST STE 31
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City | PHILADELPHIA
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State | PA
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Zip | 19103-1475
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Country | US
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Telephone | 215-241-4714
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Fax | 215-761-0249
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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 | RP447691
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License Number State | PA
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