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General NPI Number Information
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NPI Number | 1780883181
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Entity Type | Organization
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Legal Business Name | DLP CONEMAUGH PHYSICIAN PRACTICES LLC
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Dates
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Enumeration Date | 07/16/2007
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 1450 SCALP AVE
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City | JOHNSTOWN
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State | PA
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Zip | 15904-3339
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Country | US
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Telephone | 814-534-3399
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Fax | 814-534-1088
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Provider Business Mailing Address
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Address Line | 1450 SCALP AVE
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City | JOHNSTOWN
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State | PA
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Zip | 15904-3339
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Country | US
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Telephone | 814-534-3399
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Fax | 814-534-1088
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | SIERRA LEE ROBERTS
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Credential | PHARM D
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Telephone | 814-534-3399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP481210
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License Number State | PA
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