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General NPI Number Information
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NPI Number | 1952686453
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Entity Type | Individual
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Provider Name | JOSEPH M MESZAROS PHARM. D, RPH
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Gender | Male
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Dates
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Enumeration Date | 10/15/2011
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Last Update Date | 10/15/2011
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Provider Practice Location Address
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Address Line | 110 E MCKINLEY AVE
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City | MISHAWAKA
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State | IN
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Zip | 46545-6217
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Country | US
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Telephone | 574-255-9677
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Fax |
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Provider Business Mailing Address
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Address Line | 1330 BROOKE RUN CRT 3B
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City | MISHAWAKA
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State | IN
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Zip | 46544
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Country | US
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Telephone | 406-697-0868
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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 | 26024295A
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License Number State | IN
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