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General NPI Number Information
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NPI Number | 1609477249
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Entity Type | Individual
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Provider Name | MELISSA JANE HICKEY PHARM D
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Gender | Female
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Dates
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Enumeration Date | 11/02/2020
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 299 VALLEY GATE DR
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City | WARRINGTON
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State | PA
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Zip | 18976-2745
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Country | US
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Telephone | 215-488-9025
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Fax |
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Provider Business Mailing Address
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Address Line | 1435 BENTLEY DR
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City | WARRINGTON
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State | PA
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Zip | 18976-1350
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Country | US
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Telephone | 412-721-3734
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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 | RP441933
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License Number State | PA
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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 | 28RI03858200
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License Number State | NJ
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