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General NPI Number Information
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NPI Number | 1568897957
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Entity Type | Individual
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Provider Name | MOLLY NEMETH
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Gender | Female
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Dates
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Enumeration Date | 09/05/2013
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Last Update Date | 10/08/2020
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Provider Practice Location Address
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Address Line | 409 S 2ND ST
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City | HARRISBURG
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State | PA
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Zip | 17104-1612
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Country | US
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Telephone | 717-988-9966
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Fax |
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Provider Business Mailing Address
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Address Line | 793 COTTAGE BROOK LN
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City | MECHANICSBURG
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State | PA
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Zip | 17055-6801
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP449631
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH234749
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License Number State | MA
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