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General NPI Number Information
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NPI Number | 1437859766
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Entity Type | Individual
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Provider Name | CHEYENNE N PLAISTED CPHT
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Gender | Female
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Dates
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Enumeration Date | 03/06/2023
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 24892 JOHN J WILLIAMS HWY
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City | MILLSBORO
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State | DE
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Zip | 19966-4939
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Country | US
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Telephone | 302-947-1204
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Fax | 302-947-9402
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Provider Business Mailing Address
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Address Line | 25945 HOLLY ST
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City | MILLSBORO
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State | DE
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Zip | 19966-6571
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Country | US
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Telephone | 302-612-0006
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 30225174
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License Number State | DE
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