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General NPI Number Information
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NPI Number | 1760939821
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Entity Type | Individual
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Provider Name | JOSEPH ROBERT SOUCHAK RPH
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Gender | Male
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Dates
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Enumeration Date | 09/07/2016
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Last Update Date | 09/07/2016
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Provider Practice Location Address
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Address Line | 101 W MAIN ST
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City | ORWIGSBURG
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State | PA
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Zip | 17961
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Country | US
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Telephone | 570-366-0381
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Fax |
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Provider Business Mailing Address
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Address Line | 245 SUNBURY ST PO BOX 672
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City | MINERSVILLE
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State | PA
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Zip | 17954
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Country | US
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Telephone | 570-590-2264
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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 | RP038486L
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License Number State | PA
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