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General NPI Number Information
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NPI Number | 1467712083
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Entity Type | Individual
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Provider Name | JUDE THADDEUS SHEETS PHARMD, RPH.
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Gender | Male
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Dates
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Enumeration Date | 05/17/2012
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Last Update Date | 11/04/2020
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Provider Practice Location Address
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Address Line | 450 STEWART LN
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City | TRIADELPHIA
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State | WV
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Zip | 26059-1020
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Country | US
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Telephone | 304-547-1950
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Fax | 304-547-1983
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Provider Business Mailing Address
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Address Line | 450 STEWART LN
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City | TRIADELPHIA
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State | WV
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Zip | 26059-1020
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Country | US
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Telephone | 304-547-1950
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Fax | 304-547-1983
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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 | 03132561
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPI007312
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP0008059
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License Number State | WV
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PST.020108
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License Number State | LA
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | MA.2121
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License Number State | LA
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Taxonomy #6
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP447601
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License Number State | PA
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