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General NPI Number Information
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NPI Number | 1568980381
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Entity Type | Individual
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Provider Name | CAROLYN RIEDL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/31/2017
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Last Update Date | 08/31/2017
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Provider Practice Location Address
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Address Line | 2803 W MAIN ST
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City | NORRISTOWN
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State | PA
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Zip | 19403-1576
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Country | US
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Telephone | 484-636-5003
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Fax |
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Provider Business Mailing Address
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Address Line | 4718 SHELDON ST # A
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City | PHILADELPHIA
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State | PA
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Zip | 19127-1009
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Country | US
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Telephone | 920-428-7672
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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 | RP451873
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License Number State | PA
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