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General NPI Number Information
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NPI Number | 1962935619
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Entity Type | Individual
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Provider Name | CHRISTINE TRUSKY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/10/2017
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Last Update Date | 04/10/2017
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Provider Practice Location Address
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Address Line | 667 ROUTE 739
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City | LORDS VALLEY
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State | PA
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Zip | 18428-6001
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Country | US
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Telephone | 570-775-0405
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Fax |
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Provider Business Mailing Address
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Address Line | 145 DEER LN
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City | HEGINS
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State | PA
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Zip | 17938-9099
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Country | US
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Telephone | 570-985-9357
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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 | RP450853
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License Number State | PA
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