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General NPI Number Information
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NPI Number | 1508454794
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Entity Type | Individual
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Provider Name | HEATHER NEWTON CPHT
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Gender | Female
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Dates
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Enumeration Date | 01/04/2021
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Last Update Date | 01/04/2021
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Provider Practice Location Address
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Address Line | 555 MAHONING ST
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City | MILTON
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State | PA
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Zip | 17847-2213
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Country | US
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Telephone | 570-742-8253
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Fax |
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Provider Business Mailing Address
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Address Line | 1069 OLD ROUTE 15
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City | NEW COLUMBIA
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State | PA
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Zip | 17856-8932
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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 | 30129420
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License Number State | PA
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