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General NPI Number Information
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NPI Number | 1902351257
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Entity Type | Individual
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Provider Name | DAVID LUTZ R.PH.
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Gender | Male
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Dates
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Enumeration Date | 08/16/2016
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Last Update Date | 08/16/2016
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Provider Practice Location Address
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Address Line | 17 W MAIN ST
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City | HUMMELSTOWN
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State | PA
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Zip | 17036-1516
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Country | US
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Telephone | 717-566-2525
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Fax | 717-974-0120
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Provider Business Mailing Address
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Address Line | 1629 NOTTINGHAM DR
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City | HUMMELSTOWN
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State | PA
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Zip | 17036-8712
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Country | US
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Telephone | 717-645-3251
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Fax | 717-974-0120
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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 | RP024006L
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License Number State | PA
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