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General NPI Number Information
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NPI Number | 1902193105
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Entity Type | Individual
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Provider Name | ROBERT MARTIN NIEDERMEYER JR. PHARM D
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Gender | Male
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Dates
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Enumeration Date | 07/08/2011
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Last Update Date | 07/08/2011
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Provider Practice Location Address
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Address Line | 87 WAGNER ROAD
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City | MONACA
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State | PA
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Zip | 15061
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Country | US
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Telephone | 724-728-7259
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Fax | 724-728-7259
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Provider Business Mailing Address
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Address Line | 2625 WOODMONT LANE
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City | WEXFORD
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State | PA
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Zip | 15090
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Country | US
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Telephone | 412-596-5144
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Fax | 724-728-7259
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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 | RP444447
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License Number State | PA
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