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General NPI Number Information
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NPI Number | 1811296114
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Entity Type | Individual
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Provider Name | ROSANNE M HENIGIN R.PH
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Gender | Female
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Dates
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Enumeration Date | 03/25/2011
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Last Update Date | 03/25/2011
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Provider Practice Location Address
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Address Line | 200 RESORT PLAZA DR
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City | BLAIRSVILLE
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State | PA
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Zip | 15717-7964
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Country | US
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Telephone | 724-459-5938
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Fax | 724-459-5034
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Provider Business Mailing Address
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Address Line | 133 EVANS AVE
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City | BLAIRSVILLE
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State | PA
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Zip | 15717-1062
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Country | US
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Telephone | 724-459-7047
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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 | RP028733L
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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 | PS36981
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License Number State | FL
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