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General NPI Number Information
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NPI Number | 1013714161
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Entity Type | Individual
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Provider Name | HEATHER MARIE FIELDS
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Gender | Female
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 1500 SUMMIT AVE
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City | UNION CITY
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State | NJ
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Zip | 07087-1922
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Country | US
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Telephone | 201-867-5153
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Fax | 855-631-0207
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Provider Business Mailing Address
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Address Line | 2 RIVER RD APT 439
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City | CHATHAM
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State | NJ
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Zip | 07928-1968
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Country | US
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Telephone | 609-273-4804
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Fax | 855-631-0207
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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 | 28RI02831400
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License Number State | NJ
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