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General NPI Number Information
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NPI Number | 1841675113
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Entity Type | Individual
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Provider Name | MARLENE LISA LEVIS RPH
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Gender | Female
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Dates
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Enumeration Date | 07/28/2015
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Last Update Date | 07/28/2015
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Provider Practice Location Address
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Address Line | 176 WEST STREET ROAD
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City | FEASTERVILLE
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State | PA
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Zip | 19053
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Country | US
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Telephone | 215-355-1267
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Fax | 847-396-2510
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Provider Business Mailing Address
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Address Line | 1272 WRIGHT DRIVE
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006
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Country | US
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Telephone |
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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 | RPI006207
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License Number State | PA
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