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NPI 1285169995

NPI 1285169995 : ABIGAIL E ISON PHARMD : WAVERLY, OH

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General NPI Number Information
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    NPI Number           |    1285169995
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    Entity Type          |    Individual 
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    Provider Name        |    ABIGAIL E ISON PHARMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/01/2017
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    Last Update Date     |    01/27/2020
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Provider Practice Location Address
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    Address Line         |    220 WAVERLY PLZ 
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    City                 |    WAVERLY
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    State                |    OH
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    Zip                  |    45690-1222
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    Country              |    US
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    Telephone            |    740-947-9299
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    Fax                  |    740-941-0792
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Provider Business Mailing Address
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    Address Line         |    220 WAVERLY PLZ 
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    City                 |    WAVERLY
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    State                |    OH
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    Zip                  |    45690-1222
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    Country              |    US
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    Telephone            |    740-947-9299
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    Fax                  |    740-941-0792
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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       |    03233989
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    1835P0018X
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    Taxonomy Name        |    Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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    License Number       |    03233989
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    License Number State |    OH
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