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General NPI Number Information
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NPI Number | 1831671270
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Entity Type | Individual
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Provider Name | TARA M ENGEL
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Gender | Female
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Dates
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Enumeration Date | 09/01/2018
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Last Update Date | 09/01/2018
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Provider Practice Location Address
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Address Line | 241 N 1ST ST
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City | LEHIGHTON
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State | PA
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Zip | 18235
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Country | US
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Telephone | 610-377-4262
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Fax |
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Provider Business Mailing Address
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Address Line | 19 JEFFREY DR
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City | LARKSVILLE
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State | PA
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Zip | 18704
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Country | US
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Telephone | 570-709-7058
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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 | RPI012352
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP452563
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License Number State | PA
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