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General NPI Number Information
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NPI Number | 1447288550
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Entity Type | Individual
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Provider Name | ROBIN L HENDERSON PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1540 SPRING VALLEY DR PHARMACY SERVICE
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City | HUNTINGTON
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State | WV
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Zip | 25704-9300
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Country | US
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Telephone | 304-429-6755
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Fax | 304-429-0268
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Provider Business Mailing Address
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Address Line | 1540 SPRING VALLEY DR PHARMACY SERVICE
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City | HUNTINGTON
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State | WV
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Zip | 25704-9300
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Country | US
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Telephone | 304-429-6755
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Fax | 304-429-0268
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | RP0005536
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License Number State | WV
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