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General NPI Number Information
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NPI Number | 1225460322
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Entity Type | Individual
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Provider Name | DR. HEATHER N. BEILHART
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Gender | Female
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Dates
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Enumeration Date | 07/31/2013
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Last Update Date | 11/12/2015
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Provider Practice Location Address
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Address Line | 1303 38TH AVE N
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City | MYRTLE BEACH
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State | SC
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Zip | 29577-1315
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Country | US
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Telephone | 843-445-1697
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Fax | 843-946-9677
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Provider Business Mailing Address
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Address Line | 1303 38TH AVE N
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City | MYRTLE BEACH
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State | SC
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Zip | 29577-1315
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Country | US
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Telephone | 843-445-1697
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Fax | 843-946-9677
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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 | RP0008129
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License Number State | WV
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