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General NPI Number Information
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NPI Number | 1639636046
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Entity Type | Individual
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Provider Name | ANDREA JO BILLEY RPH
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Gender | Female
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Dates
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Enumeration Date | 02/22/2019
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Last Update Date | 02/22/2019
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Provider Practice Location Address
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Address Line | 1901 DAILEY AVE
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City | LATROBE
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State | PA
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Zip | 15650-3087
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Country | US
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Telephone | 888-432-5936
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Fax |
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Provider Business Mailing Address
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Address Line | 2281 RIDGEVIEW RD
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City | MOUNT PLEASANT
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State | PA
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Zip | 15666-2279
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Country | US
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Telephone | 724-309-3093
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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 | RP039811L
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License Number State | PA
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