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General NPI Number Information
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NPI Number | 1912185125
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Entity Type | Individual
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Provider Name | THOMAS WILLIAM IRELAND R.PH.
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Gender | Male
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Dates
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Enumeration Date | 02/11/2008
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Last Update Date | 11/09/2016
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Provider Practice Location Address
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Address Line | 304 VILLAGE AT STONES CROSSING RD
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City | EASTON
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State | PA
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Zip | 18045-5085
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Country | US
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Telephone | 610-829-2478
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Fax |
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Provider Business Mailing Address
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Address Line | 2 JEANETTE LN
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City | MILFORD
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State | NJ
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Zip | 08848-1904
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Country | US
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Telephone | 908-996-6216
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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 | RP027164L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI01237300
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License Number State | NJ
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