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General NPI Number Information
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NPI Number | 1982853461
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Entity Type | Individual
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Provider Name | TIMOTHY CHARLES HANNAN RPH
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Gender | Male
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Dates
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Enumeration Date | 09/09/2008
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 20111 ROUTE 19 STE 22
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City | CRANBERRY TWP
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State | PA
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Zip | 16066-6207
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Country | US
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Telephone | 724-776-2988
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Fax | 724-776-0298
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Provider Business Mailing Address
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Address Line | 656 BLUE SPRUCE DR
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City | MARS
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State | PA
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Zip | 16046-3960
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Country | US
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Telephone | 724-553-5660
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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 | R2152124
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License Number State | PA
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