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General NPI Number Information
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NPI Number | 1720745276
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Entity Type | Individual
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Provider Name | MARC STORB PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/19/2021
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Last Update Date | 11/19/2021
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Provider Practice Location Address
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Address Line | 500 UNIVERSITY DR STE 1200
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City | HERSHEY
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State | PA
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Zip | 17033-2360
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Country | US
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Telephone | 717-531-2045
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Fax |
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Provider Business Mailing Address
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Address Line | 241 MARKET ST
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City | LITITZ
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State | PA
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Zip | 17543-1117
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Country | US
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Telephone | 717-823-2458
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | RP455545
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License Number State | PA
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