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NPI 1558926865

NPI 1558926865 : HARRY DAVID MCELROY : MCCLELLANDTOWN, PA

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General NPI Number Information
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    NPI Number           |    1558926865
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    Entity Type          |    Individual 
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    Provider Name        |    HARRY DAVID MCELROY
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/02/2019
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    Last Update Date     |    05/02/2019
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Provider Practice Location Address
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    Address Line         |    803 MAIN STREET 
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    City                 |    MCCLELLANDTOWN
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    State                |    PA
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    Zip                  |    15458
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    Country              |    US
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    Telephone            |    724-737-6333
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 307 
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    City                 |    MC CLELLANDTOWN
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    State                |    PA
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    Zip                  |    15458-0307
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    Country              |    US
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    Telephone            |    
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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        |    176P00000X
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    Taxonomy Name        |    Funeral Director
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    License Number       |    
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    License Number State |    
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