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General NPI Number Information
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NPI Number | 1871195586
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Entity Type | Individual
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Provider Name | JEANINE MARIE MCGILLIAN RPH
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Gender | Female
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Dates
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Enumeration Date | 11/09/2020
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Last Update Date | 11/09/2020
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Provider Practice Location Address
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Address Line | 1006 BRANCH MILL RD
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City | TELFORD
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State | PA
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Zip | 18969-2342
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Country | US
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Telephone | 215-703-0741
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Fax |
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Provider Business Mailing Address
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Address Line | 651 MAIN ST
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City | HARLEYSVILLE
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State | PA
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Zip | 19438-1772
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Country | US
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Telephone | 215-513-0676
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Fax | 215-713-0676
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | RP040745L
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License Number State | PA
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