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General NPI Number Information
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NPI Number | 1679606057
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Entity Type | Individual
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Provider Name | JAMES PAUL MCCORMICK R.PH.
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Gender | Male
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1000 ROUTE 522
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City | SELINSGROVE
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State | PA
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Zip | 17870-8707
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Country | US
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Telephone | 570-372-5691
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Fax | 570-372-2526
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Provider Business Mailing Address
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Address Line | 63 MAPLE ST. P.O. BOX 23
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City | MILLMONT
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State | PA
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Zip | 17845
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Country | US
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Telephone | 570-922-1467
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Fax | 570-372-2526
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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 | RP031463L
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License Number State | PA
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