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General NPI Number Information
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NPI Number | 1770800427
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Entity Type | Individual
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Provider Name | DANIEL SIUDELA RPH
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Gender | Male
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Dates
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Enumeration Date | 04/20/2010
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Last Update Date | 04/20/2010
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Provider Practice Location Address
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Address Line | 2302 SHEFFIELD RD
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City | ALIQUIPPA
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State | PA
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Zip | 15001-2302
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Country | US
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Telephone | 724-375-5558
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Fax | 724-857-3080
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Provider Business Mailing Address
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Address Line | 211 VALLEYVIEW DR
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City | MC DONALD
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State | PA
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Zip | 15057-2620
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Country | US
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Telephone | 412-257-3007
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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 | RP034272L
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License Number State | PA
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