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General NPI Number Information
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NPI Number | 1033693577
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Entity Type | Individual
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Provider Name | HEAN POY
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Gender | Female
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Dates
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Enumeration Date | 09/20/2018
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Last Update Date | 09/20/2018
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Provider Practice Location Address
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Address Line | 980 N SUSQUEHANNA TRL
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City | SELINSGROVE
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State | PA
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Zip | 17870-7766
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Country | US
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Telephone | 570-374-1230
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Fax |
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Provider Business Mailing Address
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Address Line | 19307 CUB CIR APT 307
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City | BLOOMSBURG
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State | PA
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Zip | 17815-8375
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Country | US
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Telephone | 215-919-8089
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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 | RP452500
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License Number State | PA
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