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General NPI Number Information
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NPI Number | 1245685833
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Entity Type | Individual
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Provider Name | BETH HOUGHTON
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Gender | Female
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Dates
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Enumeration Date | 05/02/2016
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Last Update Date | 05/02/2016
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Provider Practice Location Address
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Address Line | 109 E PIONEER
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City | VALDEZ
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State | AK
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Zip | 99686
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Country | US
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Telephone | 907-461-3313
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Fax | 907-461-3319
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Provider Business Mailing Address
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Address Line | PO BOX 185
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City | VALDEZ
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State | AK
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Zip | 99686-0185
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Country | US
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Telephone | 907-461-3313
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Fax | 907-461-3319
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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 | 1598
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License Number State | AK
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