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General NPI Number Information
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NPI Number | 1790911600
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Entity Type | Organization
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Legal Business Name | KRAHLING LLC
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Dates
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Enumeration Date | 06/05/2009
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Last Update Date | 05/11/2012
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Provider Practice Location Address
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Address Line | 4576 PENNS VALLEY RD
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City | SPRING MILLS
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State | PA
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Zip | 16875-8500
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Country | US
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Telephone | 814-422-8911
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Fax | 814-422-8368
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Provider Business Mailing Address
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Address Line | 4576 PENNS VALLEY RD
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City | SPRING MILLS
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State | PA
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Zip | 16875-8500
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Country | US
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Telephone | 814-422-8911
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Fax | 814-422-8368
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Authorized Official
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Title or Position | PHARMACY OWNER
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Name | NICOLE KRAHLING
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Credential |
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Telephone | 814-422-8911
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP412431L
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License Number State | PA
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