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General NPI Number Information
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NPI Number | 1962093666
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Entity Type | Individual
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Provider Name | AUTUMN ROSE HARTRANFT
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Gender | Female
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Dates
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Enumeration Date | 01/27/2021
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Last Update Date | 11/03/2021
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Provider Practice Location Address
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Address Line | 300 AMERICAN ST
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City | CATASAUQUA
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State | PA
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Zip | 18032-1800
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Country | US
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Telephone | 610-264-5471
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Fax |
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Provider Business Mailing Address
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Address Line | 25 SCHAEFFER RD
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City | BERNVILLE
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State | PA
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Zip | 19506-8930
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Country | US
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Telephone | 484-332-5179
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | PI121476
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License Number State | PA
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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 | RP456005
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License Number State | PA
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