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General NPI Number Information
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NPI Number | 1720297153
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Entity Type | Individual
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Provider Name | JAMIE ELIZABETH TAKOUSHIAN 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 | 10/02/2019
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Provider Practice Location Address
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Address Line | 1140 MCDERMOTT DR STE 104
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City | WEST CHESTER
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State | PA
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Zip | 19380-4043
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Country | US
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Telephone | 610-696-3100
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Fax | 610-696-7100
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Provider Business Mailing Address
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Address Line | 204 S DEERWOOD DR
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City | WEST CHESTER
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State | PA
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Zip | 19382-7175
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Country | US
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Telephone | 610-517-8121
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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 | RP035779T
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License Number State | PA
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