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General NPI Number Information
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NPI Number | 1578658787
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Entity Type | Individual
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Provider Name | DONNA MARIE WIEST RPH.
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | LIFECARE PHARMACY 2106 HARRISBURG PK.
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City | LANCASTER
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State | PA
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Zip | 17604
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Country | US
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Telephone | 717-544-3154
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Fax | 717-544-3166
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Provider Business Mailing Address
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Address Line | 712 GOOSE NECK DR.
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City | LITITZ
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State | PA
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Zip | 17543
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Country | US
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Telephone | 717-569-2732
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Fax | 717-295-5429
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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 | RP032531L
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License Number State | PA
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