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General NPI Number Information
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NPI Number | 1679790448
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Entity Type | Individual
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Provider Name | VICTORIA LYNN DURLIN RPH
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Gender | Female
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 06/29/2008
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Provider Practice Location Address
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Address Line | 102 MAIN ST
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City | BRADFORD
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State | PA
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Zip | 16701-2023
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Country | US
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Telephone | 814-362-3827
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Fax |
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Provider Business Mailing Address
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Address Line | 436 LOOKOUT ST
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City | WARREN
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State | PA
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Zip | 16365-1636
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Country | US
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Telephone | 814-723-2966
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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 | RP041829L
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License Number State | PA
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