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General NPI Number Information
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NPI Number | 1841382645
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Entity Type | Individual
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Provider Name | PAMELA D PHILLIPS RPH
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Gender | Female
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 11/24/2014
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Provider Practice Location Address
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Address Line | 1000 DUTCH RIDGE ROAD HERITAGE VALLEY HEALTH SYSTEM
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City | BEAVER
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State | PA
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Zip | 15009
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Country | US
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Telephone | 724-773-2174
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Fax | 724-773-4679
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Provider Business Mailing Address
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Address Line | 621 WATER VIEW DR
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City | CRANBERRY TWP
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State | PA
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Zip | 16066-3490
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Country | US
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Telephone | 724-779-4935
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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 | RP033172L
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License Number State | PA
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