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NPI 1962123919

NPI 1962123919 : ZACHARY DAVID DEAN RPH : UNIONTOWN, PA

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General NPI Number Information
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    NPI Number           |    1962123919
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    Entity Type          |    Individual 
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    Provider Name        |    ZACHARY DAVID DEAN RPH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/08/2022
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    Last Update Date     |    09/08/2022
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Provider Practice Location Address
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    Address Line         |    25 PITTSBURGH ST 
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    City                 |    UNIONTOWN
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    State                |    PA
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    Zip                  |    15401-2943
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    Country              |    US
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    Telephone            |    724-438-5443
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    Fax                  |    724-425-1114
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Provider Business Mailing Address
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    Address Line         |    174 TOWN COUNTRY RD 
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    City                 |    VANDERBILT
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    State                |    PA
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    Zip                  |    15486-1222
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    Country              |    US
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    Telephone            |    724-317-6265
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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       |    RP455983
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    License Number State |    PA
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