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General NPI Number Information
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NPI Number | 1699984633
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Entity Type | Individual
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Provider Name | EMMA LYNN E COLLINA RPH
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Gender | Female
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 485 BALTIMORE PIKE
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City | GLEN MILLS
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State | PA
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Zip | 19342-1161
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Country | US
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Telephone | 484-840-2600
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Fax | 484-840-2604
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Provider Business Mailing Address
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Address Line | 640 CHRISTOPHER LN
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City | ASTON
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State | PA
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Zip | 19014-1477
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Country | US
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Telephone | 484-840-2617
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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 | RP-038965-L
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License Number State | PA
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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 | PS-28526
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License Number State | FL
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