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General NPI Number Information
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NPI Number | 1023625613
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Entity Type | Individual
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Provider Name | ANDREA HANEY RPH
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Gender | Female
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Dates
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Enumeration Date | 09/28/2020
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Last Update Date | 09/28/2020
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Provider Practice Location Address
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Address Line | 2449 ROSS MILLVILLE RD STE 185
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City | HAMILTON
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State | OH
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Zip | 45013-8955
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Country | US
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Telephone | 151-386-3800
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Fax | 513-863-8001
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Provider Business Mailing Address
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Address Line | 2449 ROSS MILLVILLE RD STE 185
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City | HAMILTON
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State | OH
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Zip | 45013-8955
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Country | US
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Telephone | 151-386-3800
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Fax | 513-863-8001
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 03233804
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License Number State | OH
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