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General NPI Number Information
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NPI Number | 1790135366
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Entity Type | Individual
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Provider Name | DR. CHRISTOPHER JAY DUFFY
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Gender | Male
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Dates
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Enumeration Date | 06/15/2016
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Last Update Date | 06/15/2016
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Provider Practice Location Address
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Address Line | 313 HENDERSON DR
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City | SHARON HILL
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State | PA
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Zip | 19079-1034
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Country | US
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Telephone | 800-906-7798
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Fax | 877-381-3806
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Provider Business Mailing Address
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Address Line | 110 S NORWINDEN DR
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City | SPRINGFIELD
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State | PA
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Zip | 19064-3220
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Country | US
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Telephone | 610-357-8163
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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 | RP438772
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License Number State | PA
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