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General NPI Number Information
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NPI Number | 1982019956
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Entity Type | Organization
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Legal Business Name | 3 PAULS, LLC
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Dates
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Enumeration Date | 06/27/2014
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Last Update Date | 06/27/2014
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Provider Practice Location Address
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Address Line | 116 NEW CASTLE ST
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City | SLIPPERY ROCK
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State | PA
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Zip | 16057-1005
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Country | US
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Telephone | 724-458-4551
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Fax |
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Provider Business Mailing Address
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Address Line | 1009 W MAIN ST
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City | GROVE CITY
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State | PA
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Zip | 16127-1011
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | CLINTON PAUL KASSI
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Credential |
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Telephone | 724-458-4551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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