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General NPI Number Information
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NPI Number | 1881148724
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Entity Type | Individual
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Provider Name | NEIL UMSTEAD
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Gender | Male
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Dates
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Enumeration Date | 08/09/2016
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Last Update Date | 09/29/2022
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Provider Practice Location Address
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Address Line | 1105 CHESTNUT ST
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City | BERWICK
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State | PA
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Zip | 18603-2211
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Country | US
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Telephone | 570-759-0896
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Fax | 570-752-4594
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Provider Business Mailing Address
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Address Line | 320 S MAIN RD
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City | MOUNTAIN TOP
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State | PA
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Zip | 18707-1925
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Country | US
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Telephone | 267-441-2289
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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 | RP440587
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License Number State | PA
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