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General NPI Number Information
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NPI Number | 1629794474
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Entity Type | Individual
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Provider Name | MICHAEL NECHETSKY RPH
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Gender | Male
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Dates
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Enumeration Date | 10/13/2022
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Last Update Date | 10/13/2022
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Provider Practice Location Address
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Address Line | 29 W 21ST ST
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City | NORTHAMPTON
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State | PA
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Zip | 18067-1222
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Country | US
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | 2762 W. 21ST STREET
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City | NORTHAMPTON
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State | PA
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Zip | 18067
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Country | US
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Telephone | 610-261-2720
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Fax | 610-261-4955
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number | RP042271L
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License Number State | PA
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