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General NPI Number Information
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NPI Number | 1649369257
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Entity Type | Individual
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Provider Name | JOHN BYRON MOBUS II RPH
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Gender | Male
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 09/18/2008
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Provider Practice Location Address
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Address Line | 33 E MAIN ST
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City | EVERETT
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State | PA
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Zip | 15537-1257
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Country | US
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Telephone | 814-652-5633
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Fax | 814-652-6201
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Provider Business Mailing Address
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Address Line | 2089 FRENCH CREEK RD PO BOX 464
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City | EVERETT
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State | PA
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Zip | 15537-5260
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Country | US
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Telephone | 814-735-2707
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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 | RP037568L
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License Number State | PA
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