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General NPI Number Information
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NPI Number | 1598495970
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Entity Type | Individual
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Provider Name | KENDRA LYNN HOUSEMAN CPHT
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Gender | Female
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Dates
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Enumeration Date | 06/16/2022
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Last Update Date | 06/16/2022
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Provider Practice Location Address
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Address Line | 3885 UNION DEPOSIT RD
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City | HARRISBURG
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State | PA
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Zip | 17109-5920
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Country | US
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Telephone | 717-558-9407
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Fax | 717-558-9202
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Provider Business Mailing Address
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Address Line | 3885 UNION DEPOSIT RD
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City | HARRISBURG
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State | PA
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Zip | 17109-5920
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Country | US
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Telephone | 717-558-9407
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Fax | 717-558-9202
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number |
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License Number State |
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