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General NPI Number Information
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NPI Number | 1639860059
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Entity Type | Individual
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Provider Name | HEATHER WITTMANN
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Gender | Female
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Dates
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Enumeration Date | 05/17/2023
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Last Update Date | 07/12/2025
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Provider Practice Location Address
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Address Line | 4050 JACKSONS POINTE CT
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City | ZELIENOPLE
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State | PA
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Zip | 16063-2838
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Country | US
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Telephone | 412-578-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 287 FORSYTHE RD
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City | VALENCIA
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State | PA
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Zip | 16059-1905
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Country | US
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Telephone |
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 30231278
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License Number State | PA
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