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General NPI Number Information
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NPI Number | 1457340309
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Entity Type | Individual
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Provider Name | BETH ANN HENKE RPH
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Gender | Female
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Dates
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Enumeration Date | 10/13/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 403 W CAMPBELL RD SUITE 101
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City | RICHARDSON
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State | TX
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Zip | 75080-3465
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Country | US
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Telephone | 972-498-4740
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Fax | 972-498-7644
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Provider Business Mailing Address
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Address Line | 6104 PINE RIDGE BLVD
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City | MCKINNEY
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State | TX
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Zip | 75070-9516
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Country | US
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Telephone | 972-540-7789
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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 | 31755
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License Number State | TX
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