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General NPI Number Information
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NPI Number | 1659190965
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Entity Type | Individual
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Provider Name | DR. NAPHTALI ATO IMPRAIM
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Gender | Male
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Dates
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Enumeration Date | 10/04/2024
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 300 N BRADFORD AVE
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City | WEST CHESTER
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State | PA
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Zip | 19380-2216
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Country | US
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Telephone | 610-696-0145
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Fax |
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Provider Business Mailing Address
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Address Line | 101 WOODBINE RD UNIT 2209
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-2227
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Country | US
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Telephone | 608-960-6193
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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 | RP458952
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License Number State | PA
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