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General NPI Number Information
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NPI Number | 1649968504
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Entity Type | Individual
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Provider Name | CASSIDAY CLARA THOMPSON PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 04/28/2023
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Last Update Date | 04/28/2023
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Provider Practice Location Address
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Address Line | 1800 TILDEN RIDGE DR
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City | HAMBURG
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State | PA
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Zip | 19526-8181
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Country | US
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Telephone | 484-668-4008
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Fax |
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Provider Business Mailing Address
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Address Line | 914 SOUTH AVE APT F19
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City | SECANE
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State | PA
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Zip | 19018-4472
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Country | US
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Telephone | 405-933-1338
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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 | R-19874
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP457504
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License Number State | PA
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