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General NPI Number Information
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NPI Number | 1740485358
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Entity Type | Individual
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Provider Name | PAULA JEAN CARAMANICO
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Gender | Female
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 11/26/2007
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Provider Practice Location Address
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Address Line | 126 SAINT JOHNS DR
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City | GLEN MILLS
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State | PA
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Zip | 19342-1415
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Country | US
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Telephone | 610-358-9032
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Fax | 610-358-9032
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Provider Business Mailing Address
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Address Line | 126 ST. JOHN'S DRIVE
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City | GLEN MILLS
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State | PA
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Zip | 19342-1415
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Country | US
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Telephone | 610-358-9032
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Fax | 610-358-9032
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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 | RP030335L
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License Number State | PA
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