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NPI 1629040548

NPI 1629040548 : TERI ANNE DICKINSON RPH : NEW HOLLAND, PA

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General NPI Number Information
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    NPI Number           |    1629040548
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    Entity Type          |    Individual 
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    Provider Name        |    TERI ANNE DICKINSON RPH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/03/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    14 S TOWER RD 
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    City                 |    NEW HOLLAND
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    State                |    PA
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    Zip                  |    17557-1517
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    Country              |    US
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    Telephone            |    717-354-4999
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    Fax                  |    717-354-3027
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Provider Business Mailing Address
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    Address Line         |    115 CLEARFIELD LN 
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    City                 |    COATESVILLE
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    State                |    PA
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    Zip                  |    19320-4327
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    Country              |    US
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    Telephone            |    610-383-9934
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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       |    RP031232L
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    License Number State |    PA
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