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General NPI Number Information
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NPI Number | 1558759902
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Entity Type | Individual
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Provider Name | HEATHER PULLY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/07/2015
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Last Update Date | 03/19/2024
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Provider Practice Location Address
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Address Line | 21 GEISINGER LN
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City | LEWISTOWN
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State | PA
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Zip | 17044-3400
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Country | US
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Telephone | 866-248-1980
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Fax | 717-242-4256
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Provider Business Mailing Address
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Address Line | 21 GEISINGER LN
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City | LEWISTOWN
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State | PA
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Zip | 17044-3400
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Country | US
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Telephone | 866-248-1980
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Fax | 717-242-4256
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | RPI001544
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | RP443608
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License Number State | PA
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