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General NPI Number Information
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NPI Number | 1659735868
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Entity Type | Individual
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Provider Name | JOSEPH DYMOWSKI
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Gender | Male
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Dates
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Enumeration Date | 04/13/2016
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Last Update Date | 01/07/2021
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Provider Practice Location Address
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Address Line | 2660 LEFEVRE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19137-2044
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Country | US
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Telephone | 215-850-5701
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Fax | 215-535-4115
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Provider Business Mailing Address
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Address Line | 33 CHEWS LANDING RD
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City | HADDONFIELD
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State | NJ
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Zip | 08033-3710
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Country | US
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Telephone | 215-850-5701
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Fax | 215-535-4115
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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 | RP438514
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License Number State | PA
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