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General NPI Number Information
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NPI Number | 1922488634
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Entity Type | Organization
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Legal Business Name | SJ HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 06/08/2015
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Last Update Date | 06/08/2015
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Provider Practice Location Address
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Address Line | 145 N 6TH ST 107
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City | READING
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State | PA
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Zip | 19601-3096
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Country | US
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Telephone | 610-208-4660
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Fax |
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Provider Business Mailing Address
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Address Line | 145 N 6TH ST 107
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City | READING
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State | PA
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Zip | 19601-3096
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, SECRETARY, TREASURER
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Name | ROBIN WITTENSTEIN
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Credential |
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Telephone | 717-531-6303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP4153641
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License Number State | PA
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