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General NPI Number Information
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NPI Number | 1154322170
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Entity Type | Individual
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Provider Name | WALTER ANDREW HERBSTER RPH, MBA
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Gender | Male
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 04/06/2010
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Provider Practice Location Address
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Address Line | 5403 N BEND RD
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City | CINCINNATI
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State | OH
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Zip | 45247-7620
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Country | US
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Telephone | 513-662-1541
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Fax |
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Provider Business Mailing Address
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Address Line | 4659 FARCREST CT
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City | CINCINNATI
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State | OH
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Zip | 45247-6914
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Country | US
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Telephone | 513-535-2568
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Fax | 513-385-1072
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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 | 03-2-16832
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License Number State | OH
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