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General NPI Number Information
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NPI Number | 1437759057
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Entity Type | Individual
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Provider Name | HEATHER ALINE WEBB RPH
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Gender | Female
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Dates
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Enumeration Date | 11/01/2020
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Last Update Date | 11/01/2020
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Provider Practice Location Address
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Address Line | 3800 W WALKER ST
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City | BRECKENRIDGE
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State | TX
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Zip | 76424-3919
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Country | US
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Telephone | 254-559-4563
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Fax |
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Provider Business Mailing Address
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Address Line | 215 W HILL ST
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City | WOODSON
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State | TX
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Zip | 76491-2016
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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 | 46630
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License Number State | TX
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