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General NPI Number Information
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NPI Number | 1164494035
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Entity Type | Individual
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Provider Name | LEEANN KEPHART WEBSTER R.PH, CACP
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Gender | Female
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Dates
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Enumeration Date | 02/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 21 GEISINGER LN
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City | LEWISTOWN
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State | PA
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Zip | 17044-3400
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Country | US
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Telephone | 714-242-4275
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Fax | 814-231-6275
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Provider Business Mailing Address
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Address Line | 148 STONE ROW LN
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City | SPRING MILLS
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State | PA
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Zip | 16875-8017
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Country | US
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Telephone | 814-422-8000
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | RP043331L
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License Number State | PA
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