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General NPI Number Information
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NPI Number | 1245640689
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Entity Type | Individual
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Provider Name | HEATHER ALSBROOK PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/07/2014
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Last Update Date | 05/07/2014
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Provider Practice Location Address
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Address Line | 2010 PAXVILLE HWY
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City | MANNING
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State | SC
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Zip | 29102-6434
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Country | US
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Telephone | 803-435-4747
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Fax |
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Provider Business Mailing Address
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Address Line | 1460 LITTLE STAR RD
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City | MANNING
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State | SC
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Zip | 29102-7219
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Country | US
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Telephone |
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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 | 11104
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License Number State | SC
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