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General NPI Number Information
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NPI Number | 1518560895
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Entity Type | Individual
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Provider Name | JENNY GILLESPIE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/18/2020
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 601 E MAIN ST
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City | CANFIELD
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State | OH
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Zip | 44406-9028
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Country | US
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Telephone | 330-702-8031
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Fax | 330-702-8704
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Provider Business Mailing Address
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Address Line | 118 CHEROKEE DR
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City | BEAVER FALLS
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State | PA
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Zip | 15010-1672
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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 | 03331050
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License Number State | OH
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