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General NPI Number Information
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NPI Number | 1588779128
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Entity Type | Individual
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Provider Name | SUSAN JEAN SKLEDAR R.PH.
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Gender | Female
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 200 LOTHROP ST 302 SCAIFE HALL (UNIVERSITY OF PITTSBURGH MEDICAL CNTR)
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City | PITTSBURGH
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State | PA
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Zip | 15213-2536
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Country | US
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Telephone | 412-647-6424
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Fax | 412-647-1605
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Provider Business Mailing Address
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Address Line | 712 ILLINI DR
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City | MONROEVILLE
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State | PA
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Zip | 15146-1920
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Country | US
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Telephone | 724-325-3012
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Fax | 412-647-1605
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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 | RP-035949-L
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License Number State | PA
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