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General NPI Number Information
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NPI Number | 1134154966
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Entity Type | Individual
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Provider Name | CHARLES E HEAL RPH
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 04/05/2016
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Provider Practice Location Address
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Address Line | 347 GREENBRIER VALLEY MALL DRIVE
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City | LEWISBURG
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State | WV
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Zip | 24901
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Country | US
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Telephone | 304-645-5169
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Fax | 847-396-3149
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Provider Business Mailing Address
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Address Line | 190 OLD WHITE DR
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City | LEWISBURG
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State | WV
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Zip | 24901-1042
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Country | US
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Telephone | 304-647-5004
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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 | RP0005319
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License Number State | WV
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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 | 0202205688
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License Number State | VA
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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 | RP437602
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License Number State | PA
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