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General NPI Number Information
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NPI Number | 1568218923
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Entity Type | Individual
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Provider Name | CHARLES J TURCK PHARMD
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Gender | Male
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Dates
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Enumeration Date | 04/26/2024
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Last Update Date | 05/03/2024
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Provider Practice Location Address
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Address Line | 838 CENTRAL AVE
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-3218
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Country | US
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Telephone | 224-300-9592
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Fax | 617-399-9932
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Provider Business Mailing Address
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Address Line | 838 CENTRAL AVE
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-3218
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Country | US
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Telephone | 224-300-9592
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Fax | 617-399-9932
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 28RI02938300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 051289684
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PH27253
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License Number State | MA
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