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General NPI Number Information
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NPI Number | 1801165238
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Entity Type | Individual
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Provider Name | CHANA R HERSHKOP PHARMD, BCGP
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Gender | Female
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Dates
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Enumeration Date | 12/13/2011
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Last Update Date | 09/12/2020
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Provider Practice Location Address
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Address Line | 1 WILTSHIRE RD
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City | WYNNEWOOD
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State | PA
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Zip | 19096-3636
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Country | US
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Telephone | 917-650-1284
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Fax |
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Provider Business Mailing Address
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Address Line | 1 WILTSHIRE RD
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City | WYNNEWOOD
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State | PA
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Zip | 19096-3636
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Country | US
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Telephone | 917-650-1284
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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 | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | RP449285
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | 050481
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License Number State | NY
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