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General NPI Number Information
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NPI Number | 1841918216
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Entity Type | Individual
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Provider Name | JONATHAN F VALENTINO RPH
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Gender | Male
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Dates
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Enumeration Date | 08/21/2022
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Last Update Date | 08/21/2022
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Provider Practice Location Address
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Address Line | 937 E JEFFERSON ST
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City | BUTLER
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State | PA
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Zip | 16001-2002
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Country | US
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Telephone | 724-285-3693
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Fax | 724-285-4186
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Provider Business Mailing Address
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Address Line | 300 STEIN RD
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City | CHICORA
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State | PA
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Zip | 16025-3424
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Country | US
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Telephone | 724-496-6787
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | RP041839L
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License Number State | PA
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