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General NPI Number Information
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NPI Number | 1801347414
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Entity Type | Individual
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Provider Name | CHRISTIAN HERMOSILLO
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Gender | Male
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Dates
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Enumeration Date | 10/18/2016
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Last Update Date | 12/14/2022
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Provider Practice Location Address
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Address Line | 2160 STATE RD STE 1316
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City | LANCASTER
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State | PA
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Zip | 17601-1812
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Country | US
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Telephone | 223-287-8126
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Fax |
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Provider Business Mailing Address
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Address Line | 2160 STATE RD STE 1316
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City | LANCASTER
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State | PA
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Zip | 17601-1812
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Country | US
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Telephone | 223-287-8127
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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 | RP442147
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License Number State | PA
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