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General NPI Number Information
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NPI Number | 1932868924
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Entity Type | Individual
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Provider Name | PETER G MICHAEL BPHARM
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Gender | Male
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Dates
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Enumeration Date | 12/17/2021
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Last Update Date | 12/17/2021
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Provider Practice Location Address
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Address Line | 521 ELFORD RD
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City | FAIRLESS HILLS
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State | PA
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Zip | 19030-3622
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Country | US
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Telephone | 215-547-1082
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Fax |
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Provider Business Mailing Address
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Address Line | 521 ELFORD RD
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City | FAIRLESS HILLS
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State | PA
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Zip | 19030-3622
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Country | US
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Telephone | 215-547-1082
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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 | 28RI03415500
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License Number State | NJ
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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 | PS34205
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP045745L
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License Number State | PA
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