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General NPI Number Information
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NPI Number | 1952126211
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Entity Type | Individual
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Provider Name | JOSEPH ALAN YURETICH
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Gender | Male
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 125 E 9TH ST
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City | CHESTER
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State | PA
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Zip | 19013-6019
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Country | US
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Telephone | 412-923-6730
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Fax |
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Provider Business Mailing Address
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Address Line | 870 N 28TH ST APT 205
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City | PHILADELPHIA
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State | PA
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Zip | 19130-1729
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Country | US
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Telephone | 412-923-6730
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | RP453850
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License Number State | PA
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