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General NPI Number Information
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NPI Number | 1063507085
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Entity Type | Individual
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Provider Name | MS. VALERIE MINNICH II
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 08/13/2012
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Provider Practice Location Address
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Address Line | 606 WESTBROOKE DR
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City | ELIZABETHTOWN
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State | PA
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Zip | 17022-8806
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Country | US
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Telephone | 610-670-4127
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Fax | 610-670-4116
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Provider Business Mailing Address
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Address Line | 606 WESTBROOKE DR
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City | ELIZABETHTOWN
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State | PA
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Zip | 17022-8806
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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 | RP-08537-L
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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 | 28RI02511200
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202010908
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License Number State | VA
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