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General NPI Number Information
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NPI Number | 1235730599
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Entity Type | Individual
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Provider Name | WHITNEY A FIELDS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/03/2020
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Last Update Date | 11/03/2020
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Provider Practice Location Address
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Address Line | 25 NICHOLS DR
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-1813
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Country | US
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Telephone | 203-733-6188
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 212
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City | HARTFORD
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State | WV
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Zip | 25247-0212
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Country | US
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Telephone | 304-674-6630
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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 | 0012173
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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 | 021656
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License Number State | KY
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