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General NPI Number Information
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NPI Number | 1558782060
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Entity Type | Individual
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Provider Name | NEAL JURASKA PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/31/2013
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Last Update Date | 07/02/2020
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Provider Practice Location Address
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Address Line | 36 ROSE ST HALLSTEAD FAMILY PHARMACY
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City | HALLSTEAD
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State | PA
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Zip | 18822
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Country | US
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Telephone | 570-879-9553
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Fax |
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Provider Business Mailing Address
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Address Line | 177 ERIE BLVD REDDON'S DRUGS
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City | SUSQUEHANNA
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State | PA
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Zip | 18847-2791
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Country | US
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Telephone | 570-853-3159
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Fax | 570-853-3892
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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 | RP448393
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License Number State | PA
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