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General NPI Number Information
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NPI Number | 1952198947
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Entity Type | Individual
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Provider Name | RICHARD W CLEVELAND JR. PHARMD
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Gender | Male
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 20480 ROUTE 19
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City | CRANBERRY TOWNSHIP
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State | PA
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Zip | 16066-7501
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Country | US
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Telephone | 724-778-8989
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Fax |
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Provider Business Mailing Address
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Address Line | 153 LAUREL RIDGE DR
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City | ROANOKE
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State | VA
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Zip | 24019-8081
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Country | US
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Telephone | 540-812-5454
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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 | RP457517
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License Number State | PA
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