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NPI 1245833755

NPI 1245833755 : CINDY FIELDS RPH : DAYTON, OH

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General NPI Number Information
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    NPI Number           |    1245833755
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    Entity Type          |    Individual 
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    Provider Name        |    CINDY FIELDS RPH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/17/2020
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    Last Update Date     |    11/17/2020
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Provider Practice Location Address
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    Address Line         |    5981 FAR HILLS AVE 
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    City                 |    DAYTON
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    State                |    OH
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    Zip                  |    45429-2211
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    Country              |    US
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    Telephone            |    937-438-5954
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    Fax                  |    937-438-9505
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Provider Business Mailing Address
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    Address Line         |    6742 SAINT ANDREWS CROSS 
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    City                 |    LIBERTY TOWNSHIP
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    State                |    OH
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    Zip                  |    45044-8388
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    Country              |    US
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    Telephone            |    513-254-9559
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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       |    03124821
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    License Number State |    OH
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