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General NPI Number Information
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NPI Number | 1578984290
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Entity Type | Individual
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Provider Name | FAITH LEANN WOLFENBARKER PHARM D
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Gender | Female
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Dates
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Enumeration Date | 12/23/2013
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Last Update Date | 01/10/2017
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Provider Practice Location Address
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Address Line | 912 PARK AVE STE 105
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City | IRONTON
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State | OH
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Zip | 45638-1596
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Country | US
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Telephone | 740-237-4922
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Fax |
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Provider Business Mailing Address
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Address Line | 912 PARK AVE STE 105
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City | IRONTON
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State | OH
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Zip | 45638-1596
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Country | US
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Telephone | 740-237-4922
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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 | RPH027591
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS47685
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03136323
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 016984
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License Number State | KY
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