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General NPI Number Information
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NPI Number | 1043976012
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Entity Type | Individual
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Provider Name | LEAH EVERT PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/13/2021
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Last Update Date | 11/13/2021
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Provider Practice Location Address
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Address Line | 2108 MACARTHUR RD
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City | WHITEHALL
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State | PA
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Zip | 18052-4520
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Country | US
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Telephone | 610-740-9401
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Fax |
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Provider Business Mailing Address
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Address Line | 860 ALBERT DR
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City | ORWIGSBURG
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State | PA
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Zip | 17961-1502
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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 |
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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 | RPI015278
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP456079
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License Number State | PA
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