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General NPI Number Information
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NPI Number | 1508858960
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Entity Type | Individual
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Provider Name | DENISE C FIELDS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 06/28/2018
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Provider Practice Location Address
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Address Line | 806 JACKSON ST
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City | COLUMBUS
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State | IN
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Zip | 47201
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Country | US
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Telephone | 812-799-3287
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Fax | 812-748-3413
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Provider Business Mailing Address
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Address Line | 4299 S OLD MICHIGAN RD
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City | HOLTON
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State | IN
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Zip | 47023-9158
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Country | US
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Telephone | 812-689-6742
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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 | 26017652
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License Number State | IN
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